Pregnancy and delivery after tension-free vaginal tape (TVT) procedure: literature review and case report

Kohorst, Frauke; Flock, Felix; Reich, Andreas

doi:10.1016/j.ejogrb.2010.03.020

Cited by 18 publications

(10 citation statements)

References 25 publications

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“…8,9,11–26 The case reports covered a variety of surgical treatment methods. There were 25 patients who delivered an infant after undergoing sling procedures, 8,9,15–23,25,26 including 3 after Burch colposuspension, 13,24 2 after Marshall-Marchetti-Kranz colposuspension, 24 1 after periurethral collagen injection, 12 and 1 after Pereyra urethropexy and Vesica® sling. 11 …”

Section: Resultsmentioning

confidence: 99%

Outcomes of Pregnancy Following Surgery for Stress Urinary Incontinence: A Systematic Review

2012

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Purpose Although few data have been published on the safety of childbearing after surgery for stress urinary incontinence, a large proportion of physicians recommend that women wait to complete childbearing before pursuing surgical treatment for stress urinary incontinence. We systematically reviewed the available literature to examine the safety of pregnancy after stress urinary incontinence surgery, and to measure the effect of such pregnancy on continence outcomes. Materials and Methods The review was conducted according to the recommendations of the MOOSE (Meta-Analysis of Observational Studies in Epidemiology) group. We performed a systematic review to identify articles published before January 2011 on pregnancy after incontinence surgery. Databases searched include PubMed®, EMBASE® and the Cochrane Review. Our literature search identified 592 titles, of which 20 articles were ultimately included in the review. Results Data were tabulated from case reports, case series and physician surveys. The final analysis in each category included 32, 19 and 67 patients, respectively. Urinary retention developed during pregnancy in 2 women, 1 of whom was treated with a sling takedown and the other with intermittent catheterization. Of these 2 women 1 also had an episode of pyelonephritis during pregnancy, possibly related to the intermittent catheterization. The incidence of postpartum stress urinary incontinence ranged from 5% to 18% after cesarean delivery and from 20% to 30% after vaginal delivery. Conclusions Although the data on outcomes in the literature are limited and further studies need to be performed on the subject, the current data suggests that any increase in risks for pregnancy after surgery for stress incontinence may be small. A low risk of urinary retention during pregnancy may exist. Although some data suggest that cesarean deliveries may result in a lower rate of recurrent stress urinary incontinence than vaginal deliveries, a formal analysis could not be performed with the available data.

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Section: Resultsmentioning

confidence: 99%

Outcomes of Pregnancy Following Surgery for Stress Urinary Incontinence: A Systematic Review

2012

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“…Reports of pregnancies following retropubic and transobturator TVT show successful outcomes both in cases of cesarean section and vaginal delivery 4 with low incidences of stress urinary incontinence both during pregnancy and after delivery, irrespective of the device used.…”

Section: Discussionmentioning

confidence: 97%

“…However, there is growing evidence that documents pregnancies in patients treated for SUI by suburethral sling. Although a number of reports in the literature describe pregnancies successfully terminated both by vaginal delivery and cesarean section following mid‐urethral sling positioning, 4 there is still no definitive consensus on which is the preferred mode of delivery for these patients.…”

Section: Introductionmentioning

confidence: 99%

Vaginal delivery following single incision sling (TVT‐Secur) for female stress urinary incontinence

Tommaselli

Carlo

Formisano

et al. 2012

J of Obstet and Gynaecol

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In recent years, surgical treatment of stress urinary incontinence has become minimally invasive owing to the introduction of the transobturator route first and then single incision devices for positioning of mid-urethral slings. Although a number of case reports in the literature describe pregnancies successfully terminated both by vaginal delivery and cesarean section following mid-urethral sling positioning, there is still no definitive consensus on which is the preferred mode of delivery in these patients. We report a case of spontaneous vaginal delivery at term in a 41-year-old multiparous woman two years after the positioning of a single incision sling (TVT-Secur). The patient remained continent throughout the gestation and in the following 24 months. This case seems to further support the concept that sling procedures for stress urinary incontinence do not represent an absolute contraindication to spontaneous vaginal delivery, although the preferred mode of delivery must be assessed on an individual basis.

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“…Some authors have reported no recurrence after elective cesarean [14][15][16] or vaginal [17][18][19][20] delivery. In the largest questionnaire survey investigating SUI recurrence, which was carried out in 2008 in France, postpartum recurrence was reported in 2 of 10 women (20%) after vaginal delivery and in 1 of 8 women (12.5%) after cesarean delivery, and the difference was not significant (P = 0.58) [21].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy and delivery following midurethral sling surgery for stress urinary incontinence

Hüser

Belkov

Janků

et al. 2012

Intl J Gynecology & Obste

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Pregnancy and delivery after tension-free vaginal tape (TVT) procedure: literature review and case report

Cited by 18 publications

References 25 publications

Outcomes of Pregnancy Following Surgery for Stress Urinary Incontinence: A Systematic Review

Outcomes of Pregnancy Following Surgery for Stress Urinary Incontinence: A Systematic Review

Vaginal delivery following single incision sling (TVT‐Secur) for female stress urinary incontinence

Pregnancy and delivery following midurethral sling surgery for stress urinary incontinence

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