TY - JOUR
T1 - Modified Pereyra Bladder Neck Suspension
T2 - 10-Year Mean Followup Using Outcomes Analysis in 125 Patients
AU - Trockman, Brett A.
AU - Leach, Gary E.
AU - Hamilton, Jacqueline
AU - Sakamoto, Milton
AU - Santiago, Lyric
AU - Zimmern, Philippe E.
PY - 1995/11
Y1 - 1995/11
N2 - Purpose: We attempt to determine the long-term success rate of the modified Pereyra bladder neck suspension, identify preoperative factors predictive of long-term outcome, and investigate the influence of method and length of followup on reported continence status after modified Pereyra bladder neck suspension. Materials and Methods: The charts of 177 patients who underwent modified Pereyra bladder neck suspension at our institution more than 5 years ago were reviewed. An attempt was made to contact all patients either by mail or telephone to complete a patient survey questionnaire. Results: Of 177 patients 125 (71 percent) completed the patient survey with a mean followup of 9.8 years. At survey followup 20 percent of the patients reported no incontinence of any type and 51 percent reported stress urinary incontinence with or without urge incontinence. Of the patients 71 percent reported significant improvement in the incontinence and 73 percent were satisfied with the results of the procedure. No accurate preoperative predictors of long-term outcome were identified. The method and length of followup had significant impact on reported continence status after modified Pereyra bladder neck suspension. Conclusions: This long-term study using outcomes analysis reveals a high rate of recurrent stress incontinence after modified Pereyra bladder neck suspension. However, most patients maintain significant subjective improvement and remain satisfied with the results of the operation.
AB - Purpose: We attempt to determine the long-term success rate of the modified Pereyra bladder neck suspension, identify preoperative factors predictive of long-term outcome, and investigate the influence of method and length of followup on reported continence status after modified Pereyra bladder neck suspension. Materials and Methods: The charts of 177 patients who underwent modified Pereyra bladder neck suspension at our institution more than 5 years ago were reviewed. An attempt was made to contact all patients either by mail or telephone to complete a patient survey questionnaire. Results: Of 177 patients 125 (71 percent) completed the patient survey with a mean followup of 9.8 years. At survey followup 20 percent of the patients reported no incontinence of any type and 51 percent reported stress urinary incontinence with or without urge incontinence. Of the patients 71 percent reported significant improvement in the incontinence and 73 percent were satisfied with the results of the procedure. No accurate preoperative predictors of long-term outcome were identified. The method and length of followup had significant impact on reported continence status after modified Pereyra bladder neck suspension. Conclusions: This long-term study using outcomes analysis reveals a high rate of recurrent stress incontinence after modified Pereyra bladder neck suspension. However, most patients maintain significant subjective improvement and remain satisfied with the results of the operation.
UR - http://www.scopus.com/inward/record.url?scp=0028785539&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028785539&partnerID=8YFLogxK
U2 - 10.1016/S0022-5347(01)66796-X
DO - 10.1016/S0022-5347(01)66796-X
M3 - Article
C2 - 7563359
AN - SCOPUS:0028785539
SN - 0022-5347
VL - 154
SP - 1841
EP - 1847
JO - The Journal of Urology
JF - The Journal of Urology
IS - 5
ER -