Comparison of the modified Pereyra procedure using permanent suture material and Burch urethropexy.

OBJECTIVE: To evaluate the results of the modified Pereyra procedure, using permanent suture, and Burch urethropexy. STUDY DESIGN: In 49 women undergoing modified Pereyra procedure and 48 women undergoing Burch urethropexy between January 1990 and January 1996 results were evaluated using questionnaire based outcomes analysis. RESULTS: Follow up of all women undergoing needle suspension and Burch urethropexy showed that patient satisfaction was achieved in 86% and 81% respectively. Complete cure was achieved in 65% and 63% respectively. CONCLUSIONS: Patient satisfaction in both procedures appeared not totally dependent on the presence or absence of complete cure. The study supports the hypothesis that the modified Pereyra needle suspension using permanent suture is well suited for the treatment of uncomplicated stress urinary incontinence, when compared to Burch urethropexy after a follow up of 1 to 6 years. The results support the impression that permanent suture should be used in the modified Pereyra procedure.