| Pregnancy and delivery after tension-free vaginal tape (TVT) procedure: literature review and case report. | |
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MedLine Citation:
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PMID: 20434826 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The popularity of the TVT procedure for treating stress urinary incontinence has led to more women of childbearing age undergoing this surgery. Therefore the incidence of pregnancy after TVT procedure is likely to increase. We present a review of the current literature and we report the case of a 26-year-old woman previously treated with TVT-O. In the literature there is no evidence that an elective caesarean section protects against stress urinary incontinence in cases of pregnancy after TVT procedure. In our case an elective caesarean section was performed at 39 weeks' gestation. Postnatal pelvic floor exercises successfully controlled the incontinence with a recurrence of the stress urinary incontinence 4 months after delivery on terminating physiotherapy. At 17 months after delivery the woman remained well with no incontinence or further treatment. In our opinion, vaginal delivery after TVT is not contraindicated. However, the mode of delivery must be considered individually and after fully advising the pregnant woman. |
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Authors:
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Frauke Kohorst; Felix Flock; Rolf Kreienberg; Andreas Reich |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: European journal of obstetrics, gynecology, and reproductive biology Volume: 151 ISSN: 1872-7654 ISO Abbreviation: Eur. J. Obstet. Gynecol. Reprod. Biol. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-14 Completed Date: 2010-09-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375672 Medline TA: Eur J Obstet Gynecol Reprod Biol Country: Ireland |
Other Details:
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Languages: eng Pagination: 10-3 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Urogynaecology, University of Ulm, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section Delivery, Obstetric* Exercise Therapy Female Humans Pregnancy Recurrence Suburethral Slings* Treatment Outcome Urinary Incontinence, Stress / surgery* |
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