Chopin D, Balladur A, Koury G, Abbou C, Auvert J
Rev Fr Gynecol Obstet. 1987 Apr;82(4):229-37.
Needle bladder neck suspension for female urinary stress incontinence have been largely modified since the original description by A. Pereyra in 1959. The procedure utilized is known as modified Pereyra or raz bladder neck suspension. The hallmark of this operation is the blunt dissection of the endopelvic fascia, the anchorage of the periurethral fascia and the pubourethral ligament, the fixation of the sutures over the rectus muscle. Out of 40 patients, 14 are evaluable with a 6 months follow up: 12 are cured, 1 is improved and 1 is unchanged. This first experience and literature analysis suggest that this procedure is particularly useful in obese patients, in case of cytoscele or in case of other perineal surgery (i.e., vaginal hysterectomy, cure of rectocele).
自1959年A. 佩雷拉首次描述以来，用于治疗女性压力性尿失禁的针式膀胱颈悬吊术已发生了很大改变。所采用的手术方法被称为改良佩雷拉手术或拉兹膀胱颈悬吊术。该手术的标志是钝性分离盆腔内筋膜、固定尿道周围筋膜和耻骨尿道韧带，以及将缝线固定在腹直肌上。40例患者中，14例在随访6个月后可进行评估：12例治愈，1例改善，1例无变化。这一初步经验和文献分析表明，该手术在肥胖患者、膀胱膨出患者或其他会阴手术（如阴道子宫切除术、直肠膨出修复术）的情况下特别有用。
