Bhatia N N, Bergman A
Obstet Gynecol. 1985 Aug;66(2):255-61.
Sixty-four women underwent either the modified Burch retropubic urethropexy or the modified Pereyra procedure for surgical correction of stress urinary incontinence. All were evaluated clinically and urodynamically before and one year after surgery. The Burch procedure proved to be superior to the Pereyra procedure in terms of improving pressure transmission to the proximal two-thirds of the urethra (P less than .001), correcting the anatomic defect (P less than .001), avoiding postoperative voiding difficulties (20 versus 30%), and presenting an objective cure rate of 98 versus 85%. The age, parity, and degree of mobility of the urethra and urethrovesical junction did not influence the ability of the Burch and Pereyra procedures to produce efficient postoperative pressure transmission capacity ratio. Both types of surgical procedures were closely comparable in terms of curing stress urinary incontinence, operative time and blood loss, and total hospital stay.
六十四名女性接受了改良的耻骨后尿道悬吊术或改良的佩雷拉手术，以手术矫正压力性尿失禁。所有患者在手术前及术后一年均接受了临床和尿动力学评估。在改善尿道近端三分之二的压力传导方面（P小于0.001）、纠正解剖缺陷方面（P小于0.001）、避免术后排尿困难方面（20%对30%）以及客观治愈率方面（98%对85%），耻骨后尿道悬吊术被证明优于佩雷拉手术。年龄、产次以及尿道和尿道膀胱连接部的活动程度并不影响耻骨后尿道悬吊术和佩雷拉手术产生有效术后压力传导能力比值的能力。两种手术在治疗压力性尿失禁、手术时间和失血量以及总住院时间方面具有高度可比性。
