Document Detail

Pregnancy and delivery after tension-free vaginal tape (TVT) procedure: literature review and case report.
MedLine Citation:
PMID:  20434826     Owner:  NLM     Status:  MEDLINE    
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.
Frauke Kohorst; Felix Flock; Rolf Kreienberg; Andreas Reich
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
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:
Created Date:  2010-06-14     Completed Date:  2010-09-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  10-3     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Department of Urogynaecology, University of Ulm, Germany.
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MeSH Terms
Cesarean Section
Delivery, Obstetric*
Exercise Therapy
Suburethral Slings*
Treatment Outcome
Urinary Incontinence, Stress / surgery*

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