Pregnancy after TVT-O: case report and literature review

El‐Ghobashy, Alaa; Haw, Wan; Brook, Gill; Calvert, S. M.

doi:10.1007/s00192-007-0377-x

Cited by 16 publications

(10 citation statements)

References 13 publications

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“…Il est vrai que depuis, plusieurs cas cliniques publiés font état d'une continence parfaite dans les suites d'un accouchement voie basse, que ce soit après une BSU rétropubienne ou transobturatrice [4][5][6][7].…”

Section: Discussionunclassified

Récidive d’incontinence urinaire d’effort après bandelette sous-urétrale et accouchement

Sergent

Marpeau

2007

Gynécologie Obstétrique & Fertilité

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Section: Discussionunclassified

Récidive d’incontinence urinaire d’effort après bandelette sous-urétrale et accouchement

Sergent

Marpeau

2007

Gynécologie Obstétrique & Fertilité

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“…En effet, en interrogeant la base de données Pubmed, on ne recense que neuf cas publiés dans la littérature internationale à type de case report (Tableau 1) [11][12][13][14][15][16][17][18] et aucune série personnelle. On note cependant que plus de la moitié de ces patientes ont accouché par voie basse.…”

Section: Introductionunclassified

“…Toutefois, même s'il persiste une légère variation de cette mobilité cervico-urétrale, la continence des patientes ne semble pas affectée [21]. Dans tous les cas rapportés (Tableau 1) [11][12][13][14][15][16][17][18], l'indication de la programmation systématique d'une césarienne, avant l'entrée en travail ne semblait uniquement justifiée par le caractère préventif de la contrainte engendrée par le mobile foetal sur les structures de soutènement, limitant ainsi tout effort Aujourd'hui, il n'est pas clairement établi que la césarienne protège de tout risque d'apparition d'une IUE. En effet, les données sur la prévalence de l'IUE après les deux modes d'accouchement sont controversées.…”

Section: Introductionunclassified

Grossesse et accouchement après cure d’incontinence urinaire

et al. 2007

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L'incontinence urinaire, notamment à l'effort, est un problème fréquent, quel que soit l'âge des patientes, notamment pour certaines patientes toujours en âge de procréer. Un certain nombre de ces patientes vont bénéficier d'une cure chirurgicale d'incontinence urinaire à l'effort (IUE) avant d'avoir terminé leur désir de maternité. Depuis environ dix ans, la chirurgie « mini-invasive » de l'IUE est devenue très populaire du fait de sa faible morbidité et surtout de ses très bons résultats estimés à 85 % à long terme. Ainsi, le nombre de patientes toujours en âge de procréer et ayant eu ce type de chirurgie est en augmentation. Dans la littérature internationale, on répertorie peu de cas et peu d'études concernant la conduite à tenir sur le mode d'accouchement. Le but de cet article est de colliger les différents cas publiés afin de décrire et de discuter ce qui est couramment réalisé dans les différents services.Mots clés : Grossesse, accouchement -Césarienne -Incontinence urinaire à l'effort -Soutènement sousurétral -TVT -TOT Pregnancy and delivery after stress urinary incontinence surgery Abstract: Regardless of age, urinary incontinence, especially stress urinary incontinence (SUI), is a frequently occurring disorder, particularly significant for certain patients of childbearing age. Some of these patients undergo surgery to cure SUI prior to deciding to have children. For approximately ten years, mini-invasive surgery for SUI has become very popular because of its low morbidity and, most notably, its very good outcome in 85% of cases at long-term follow-up. The number of patients of childbearing age who undergo this type of surgery is on the rise. The literature reports few cases and there are few studies concerning the mode of delivery recommended after SUI surgery. This article brings together various published case reports and describes and discusses the policies of various medical facilities.

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“…20,26 Of these 1 reported mixed urinary incontinence during the prenatal period 9 and 5 reported the return of stress urinary incontinence during the prenatal period. 12,15,17,21,24 In 1 report a series of complications occurred throughout the pregnancy in a woman with a history of a Pereyra urethropexy and Vesica sling placement. 11 She experienced recurrent urinary tract infections that were confirmed by urine culture, the first occurring with dysuria at 18 weeks, and the second, Pseudomonas aeruginosa pyelonephritis, occurring at 32 weeks.…”

Section: Case Reportsmentioning

confidence: 99%

“…8,9,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] The case reports covered a variety of surgical treatment methods. There were 25 patients who delivered an infant after undergoing sling procedures, 8,9,[15][16][17][18][19][20][21][22][23]25,26 including 3 after Burch colposuspension, 13,24 2 after Marshall-Marchetti-Kranz colposuspension, 24 1 after periurethral collagen injection, 12 and 1 after Pereyra urethropexy and Vesica® sling. 11 The patient age range at incontinence surgery in the case reports was 18 26 to 45 years 23 (median 35).…”

Section: Case Reportsmentioning

confidence: 99%

1765 Outcomes of Pregnancy Following Surgery for Stress Urinary Incontinence: A Systematic Review

Mossanen¹,

Morrisroe²,

Pollard

et al. 2010

Journal of Urology

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Purpose-Although few data have been published on the safety of childbearing after surgery for stress urinary incontinence, a large proportion of physicians recommend that women wait to complete childbearing before pursuing surgical treatment for stress urinary incontinence. We systematically reviewed the available literature to examine the safety of pregnancy after stress urinary incontinence surgery, and to measure the effect of such pregnancy on continence outcomes.Materials and Methods-The review was conducted according to the recommendations of the MOOSE (Meta-Analysis of Observational Studies in Epidemiology) group. We performed a systematic review to identify articles published before January 2011 on pregnancy after incontinence surgery. Databases searched include PubMed®, EMBASE® and the Cochrane Review. Our literature search identified 592 titles, of which 20 articles were ultimately included in the review.Results-Data were tabulated from case reports, case series and physician surveys. The final analysis in each category included 32, 19 and 67 patients, respectively. Urinary retention developed during pregnancy in 2 women, 1 of whom was treated with a sling takedown and the other with intermittent catheterization. Of these 2 women 1 also had an episode of pyelonephritis during pregnancy, possibly related to the intermittent catheterization. The incidence of postpartum stress urinary incontinence ranged from 5% to 18% after cesarean delivery and from 20% to 30% after vaginal delivery.Conclusions-Although the data on outcomes in the literature are limited and further studies need to be performed on the subject, the current data suggests that any increase in risks for pregnancy after surgery for stress incontinence may be small. A low risk of urinary retention during pregnancy may exist. Although some data suggest that cesarean deliveries may result in a lower rate of recurrent stress urinary incontinence than vaginal deliveries, a formal analysis could not be performed with the available data.

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Pregnancy after TVT-O: case report and literature review

Cited by 16 publications

References 13 publications

Récidive d’incontinence urinaire d’effort après bandelette sous-urétrale et accouchement

Récidive d’incontinence urinaire d’effort après bandelette sous-urétrale et accouchement

Grossesse et accouchement après cure d’incontinence urinaire

1765 Outcomes of Pregnancy Following Surgery for Stress Urinary Incontinence: A Systematic Review

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