From 1971-1979, 380 women with marked stress incontinence had urethro-vesical suspensions according to Pereyra. In the majority of the cases this urethrovesical suspension was done as an additional operation to vaginal hysterectomy and anterior and posterior colporrhaphy. The follow-up examination of 189 patients 6 to 60 months after the operation included as for the pre-operative examination the history, the gynaecological findings, the Bonney test, the residual urine determination, chromocystoscopy, urinalysis with culture and sensitivity and a lateral cysto-urethrogram. 86.2% of the patients were objectively and subjectively cured. In 13.8% no improvement of the stress incontinence was found. The Pereyra urethro-vesical suspension is a valuable addition to the operative treatment of urinary stress incontinence. The complication rate is as low as for other methods and the results are at least the same. The Pereyra urethro-vesical suspension is recommended.

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http://dx.doi.org/10.1055/s-2008-1039539DOI Listing

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