Modified Pereyra procedure for stress incontinence.

Results of the modified Pereyra cystourethropexy for stress incontinence are presented. The technique prevents a suprapubic suture from entering the bladder because of a vaginal approach into the space of Retzius. The surgeon's vaginal finger guides the suprapubic needle as it passes through the rectus. Thus, a non-absorbable suture may be used and the urogenital diaphragm is brought superiorly to raise and to support the floor of the pelvis. Results are continence in 97 to 100 per cent of 30 women.