Spätergebnisse nach Pereyra-Operation. Langzeitergebnisse und Literaturübersicht

Abstract

Between 1/78 and 12/98 we performed 65 Pereyra needle suspensions because of genuine stress incontinence or masked incontinence with prolapse. We followed up 31 patients clinically and urodynamically. The age of the patients was between 31 and 80 years (median 56,2). 12 out of 30 patients were still incontinent and 19 were continent resulting in a 40% recurrence rate. MUCP, FUL and functional bladder capacity were not significantly changed in incontinent patients. A cure rate of 60% is insufficient for a surgical therapy of genuine stress incontinence. Current literature demonstrates similar results. Needle suspensions as such are seen as insufficient therapies for stress incontinence and will be altered by new vaginal techniques.