title: How to advise a woman who wants to get pregnant after a sub-urethral tape placement?
abstract: Our objective was to make recommendations for the follow-up of pregnancies and the choice of delivery route for patients becoming pregnant after surgical treatment of stress urinary incontinence (SUI) by tension-free vaginal tape (TVT) or trans-obturator tape (TOT). We performed a retrospective survey on pregnancies after surgical treatment of SUI. Nineteen physicians out of 3,400 contacted reported a total of 20 pregnancies after TVT or TOT. Three patients had recurrent SUI during pregnancy. No major complications of the tape occurred during pregnancy. Ten patients out of 20 delivered vaginally, and nine had a caesarean section. Mean follow-up after delivery was 13.8 months (1 to 52). Recurrence of SUI was observed in 3 of 20 (15%) during pregnancy and in 3 of 18 (16.7%) after delivery. The global rate of recurrence was 4 of 18 (22.2%). Recurrence of SUI was two of ten cases after vaginal delivery (20%) and in one of eight after caesarean section (12.5%; p=0.58). Vaginal delivery did not increase the risk of recurrence.
authors: Department of Obstetrics and Gynaecology, University Hospital Carémeau, Place du Professeur Robert Debré, 30029 Nimes Cedex 9, France.
authors: Laure
authors: L
authors: Panel
authors: Grégory
authors: G
authors: Triopon
authors: Christophe
authors: C
authors: Courtieu
authors: Pierre
authors: P
authors: Marès
authors: Renaud
authors: R
authors: de Tayrac
mesh_terms: D000328:Adult; D003253:Consultants; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D012189:Retrospective Studies; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*
references: Int Urogynecol J Pelvic Floor Dysfunct. 2007 Mar;18(3):347-8
references: 16788850
references: Urology. 2006 Oct;68(4):759-63
references: 17070348
references: J Urol. 1996 Mar;155(3):1037
references: 8583557
references: Int Urogynecol J Pelvic Floor Dysfunct. 2006 Nov;17(6):676-8
references: 16311932
references: Acta Obstet Gynecol Scand. 2006;85(4):482-7
references: 16612712
references: Acta Obstet Gynecol Scand. 2001 Mar;80(3):283-4
references: 11207500
references: J Gynecol Obstet Biol Reprod (Paris). 2006 Apr;35(2):191-3
references: 16575367
references: Int Urogynecol J Pelvic Floor Dysfunct. 2006 Nov;17(6):553-4
references: 16960749
references: Int Urogynecol J Pelvic Floor Dysfunct. 2002 Nov;13(6):377-9
references: 12466909
references: Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(6):385-90
references: 9891960
references: Int Urogynecol J Pelvic Floor Dysfunct. 2000 Jun;11(3):199-200
references: 11484749
references: J Obstet Gynaecol Res. 1999 Feb;25(1):51-3
references: 10067014