The modified Pereyra-Raz technique: a report on 20 cases.

This study is based on a retrospective analysis of the medical files of 20 patients who presented urinary stress incontinence corrected by Bonney's pr ocedure. Treatment consisted of a modified Pereyra-Raz percutaneous colposu spension in 16 patients, and Gittes percutaneous bladder neck suspension in four patients. The analysis was carried out 3.5 years on average post-surg ery (range 2-6 years). In sixteen out of 20 (80%) subjects, the operative r esults were fully successful; in 3 patients some improvement was observed, although there was some urinary incontinence on effort; one patient present ed recurrence of incontinence within the first 6 post-operative months, and required further surgery, so was fitted with a suburethral sling which all owed definitive correction of the disorder. (C) 2000 Editions scientifiques et medicales Elsevier SAS.