[Recurrence of stress urinary incontinence after tension-free vaginal tape and childbirth].
Retropubic or transobturator insertions of suburethral tapes are the new gold standard surgical procedure for female stress urinary incontinence. Some women of childbearing age can be treated by a suburethral tape. There are at present no sufficient data to recommend a mode of delivery rather than another in these patients. We report the case of a young woman, cured of her urinary incontinence by a suburethral tape. A recurrence occurred after childbirth by vaginal route. A second suburethral tape made it possible to restore the continence. The patient became again pregnant. A preventive caesarean section was quite as ineffective to preserve the continence.
Clinique gynécologique et obstétricale, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France. fabrice.sergent@chu-rouen.fr
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Sergent
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Marpeau
D000328:Adult; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D012008:Recurrence; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*