Cornella J L, Ostergard D R
Department of Gynecologic Surgery, Mayo Clinic, Scottsdale, Arizona 85259.
Obstet Gynecol Surv. 1990 Dec;45(12):805-16. doi: 10.1097/00006254-199012000-00001.
Armand J. Pereyra introduced a new approach in the treatment of female urinary stress incontinence which did not require abdominal retropubic dissection. This operation and subsequent modifications by Pereyra serve as the foundation for various needle suspension procedures. The reported cure rates for the Modified Pereyra Procedure and its variations have exceeded 85 per cent in several studies. There has been some suggestion of an increased late failure rate in the Modified Pereyra Procedure compared to abdominal retroubic urethropexy. Additional long-term studies are needed to answer this important question utilizing preoperative and postoperative urodynamic evaluation. Karram and Bhatia in their review of transvaginal needle bladder neck suspension procedures cited three studies which accomplished this in a total of 60 patients. It seems the popularity of needle suspension procedures continues to grow. Increasingly, needle suspension procedures have been used in the outpatient treatment of urinary stress incontinence. A continuing tribute to the operative contributions of Armand J. Pereyra in the treatment of urinary stress incontinence.
阿曼德·J·佩雷拉引入了一种治疗女性压力性尿失禁的新方法，该方法无需进行耻骨后腹部解剖。此手术及佩雷拉随后的改进方法为各种针刺悬吊手术奠定了基础。在多项研究中，改良佩雷拉手术及其变体的报告治愈率超过了85%。与耻骨后尿道固定术相比，有一些迹象表明改良佩雷拉手术的晚期失败率有所增加。需要进行更多长期研究，利用术前和术后尿动力学评估来回答这个重要问题。卡拉姆和巴蒂亚在对经阴道针刺膀胱颈悬吊手术的综述中引用了三项研究，这些研究总共对60名患者进行了此类手术。针刺悬吊手术的受欢迎程度似乎在持续增长。越来越多的针刺悬吊手术已用于门诊治疗压力性尿失禁。这是对阿曼德·J·佩雷拉在治疗压力性尿失禁方面手术贡献的持续赞誉。
