In simple words: This surgery fixes problems with bladder control (stress incontinence) and a bulging bladder into the vagina (cystocele).The doctor uses stitches to lift and support the bladder and repair the vaginal wall. Small incisions are made in the vagina and lower abdomen.

The Pereyra procedure, also known as Pereyra colposuspension, is a surgical technique used to treat stress urinary incontinence and cystocele.It involves inserting sutures through the paraurethral tissue near the bladder neck and attaching them to the abdominal fascia to elevate the bladder and restore the urethrovesical angle.The procedure often includes an anterior colporrhaphy to repair the vaginal wall. The surgeon makes small incisions in the vagina and abdomen, inserts sutures, and then closes the incisions. A Foley catheter is typically placed post-operatively.

Example 1: A 45-year-old female patient presents with stress urinary incontinence and a cystocele following vaginal delivery.The Pereyra procedure is performed to correct both conditions., A 60-year-old female patient experiences recurrent urinary tract infections due to a cystocele. The Pereyra procedure is chosen to address the cystocele and improve bladder support., A 52-year-old female patient with postmenopausal stress incontinence and a mild cystocele is a candidate for the minimally invasive Pereyra procedure, given her preference for less extensive surgery.

Preoperative assessment including physical examination, urodynamic studies, and patient history. Intraoperative documentation of surgical steps, including suture placement and tissue repair. Postoperative notes, including catheter removal, follow-up appointments, and assessment of continence.

** The Pereyra procedure is a less invasive alternative to other surgical options for stress urinary incontinence and cystocele.The success rate varies depending on patient factors and surgical technique.Always refer to the most up-to-date coding guidelines and payer policies.