Spontaneous delivery following tension-free vaginal tape procedure.
There has been no report in the international literature concerning vaginal delivery following tension-free vaginal tape (TVT) procedure. Most gynecologists recommend cesarean section after TVT procedure. We present the case of a 37-year-old (gravida 2, para 2) woman who had spontaneous delivery at 40 weeks' gestation after TVT procedure performed 10 months prior because of stress urinary incontinence. Five months after spontaneous delivery, the patient was shown to be continent, with no urinary leakage occurring following stress maneuver. Urodynamic evaluation showed normal urethral pressure profile and sufficient maximum urethral closure pressure. Introital ultrasound demonstrated the correct position of the Prolene tape. In cases of pregnancy following TVT procedure, a general recommendation of delivery by cesarean section may be questioned, since the function and correct suburethral position of the Prolene tape can also remain intact following vaginal delivery.
Seeger
Dietmar
D
Department of Gynecology and Obstetrics, Katholische Kliniken Essen-Nord gGmbH, Hospitalstr. 24, 45329 Essen, Germany. d.seeger@kken.de
Truong
Si Tuan
ST
Kimmig
Rainer
R
D000328:Adult; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D011126:Polypropylenes; D011247:Pregnancy; D011256:Pregnancy Outcome; D019736:Prostheses and Implants; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics
D011126:Polypropylenes