MODIFIED PEREYRA BLADDER NECK SUSPENSION - 10-YEAR MEAN FOLLOW-UP USING OUTCOMES ANALYSIS IN 125 PATIENTS

Purpose: We attempt to determine the long-term success rate of the mod ified Pereyra bladder neck suspension, identify preoperative factors p redictive of long-term outcome, and investigate the influence of metho d and length of followup on reported continence status after modified Pereyra bladder neck suspension.Materials and Methods: The charts of 1 77 patients who underwent modified Pereyra bladder neck suspension at our institution more than 5 years ago were reviewed. An attempt was ma de to contact all patients either by mail or telephone to complete a p atient survey questionnaire. Results: Of 177 patients 125 (71%) comple ted the patient survey with a mean followup of 9.8 years. At survey fo llowup 20% of the patients reported no incontinence of any type and 51 % reported stress urinary incontinence with or without urge incontinen ce. Of the patients 71% reported significant improvement in the incont inence and 73% were satisfied with the results of the procedure. No ac curate preoperative predictors of long-term outcome were identified. T he method and length of followup had significant impact on reported co ntinence status after modified Pereyra bladder neck suspension. Conclu sions: This long-term study using outcomes analysis reveals a high rat e of recurrent stress incontinence after modified Pereyra bladder neck suspension. However, most patients maintain significant subjective im provement and remain satisfied with the results of the operation.