Long-term Follow-up of Urethrovesical Suspension with the Pereyra Technique in the Treatment of Genuine Stress Incontinence

A total of 284 patients with stress urinary incontinence underwent Pereyra's modified procedure between March 1980 and December 1987. The main surgical indication was the coexistence of stress urinary incontinence and genital prolapse in patients who had not previously undergone a retropubic surgical approach. Besides the clinical study, endoscopic, radiologic and cystometric evaluations were performed. Postoperative evaluations were also obtained. Suprapubic bladder drainage was used in all patients. Follow-up ranged from 2 to 5 years; 20% completed 5 years, 24% completed 4 years, 40% completed 3 years and 100% completed 2 years. The average follow-up rate was 34 months. A surgical success rate of 87% was observed. Of the failures 66% occurred during the first 6 months and 82% during the first year. Few complications were encountered, mostly postoperative bladder dysfunction, at a rate of 14%.