SYMPTOM ANALYSIS OF PATIENTS UNDERGOING MODIFIED PEREYRA BLADDER NECK SUSPENSION FOR STRESS URINARY-INCONTINENCE - PREOPERATIVE AND POSTOPERATIVE FINDINGS

The results of a physician-direct follow-up of 145 women undergoing the modified Pereyra bladder neck suspension from March 1980 to February 1986 are presented. Median follow-up was 3.5 years (2.0-7.7); 70 percent of patients had follow-up between three and four years postoperatively. All patients had preoperative demonstration of stress incontinence as well as urodynamic evaluations. Fifty-one percent of patients reported no stress incontinence and 76 percent dynamic evaluations. Fifty-one percent of patients reported no stress incontinence and 76 percent reported that their sense of urinary control was better, or much better at the time of follow-up. Improvement was seen in all grades of stress incontinence. Age, weight, parity, and history of prior anti-incontinence surgery had no significant impact on success rates. Although preoperative urgency symptoms were more common among failures (28% vs 15%), this association was not statistically significant. However, persistent or de novo urgency symptoms postoperatively were highly associated with postoperative incontinence (p < 0.005). The onset of recurrent incontinence was experienced more than two years postoperatively in 23 percent of the incontinent group.