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International Urogynecology Journal
Published in: International Urogynecology Journal 6/2010

01-06-2010 | Original Article

Long-term durability of pubovaginal fascial slings in women who then become pregnant and deliver

Authors: Hung-Jui Tan, Wendy Siu, Gary J. Faerber, Edward J. McGuire, Jerilyn M. Latini

Published in: International Urogynecology Journal | Issue 6/2010

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Abstract

Introduction and hypothesis

Pubovaginal fascial slings are commonly performed after childbearing is completed. Limited data is available regarding women who become pregnant following a sling procedure.

Methods

Three hundred forty-one women of childbearing age underwent pubovaginal sling surgery at our institution from July 1993 to December 2005. All patients were sent a questionnaire regarding their incontinence and health status.

Results

Nine women who delivered following surgery were identified (seven vaginal and two cesarean sections). Overall, five remained dry, three had no change in continence, and one noted worsening incontinence. Four women completed questionnaires (two vaginal and two caesarean sections). One patient who delivered vaginally reported high symptom scores and dissatisfaction while the remaining three reported low symptom scores and satisfaction.

Conclusions

The pubovaginal fascial sling is a durable option for women with reproductive potential. Given our results, both vaginal delivery and cesarean section appear to be acceptable modes of delivery in this patient population.
Appendix
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Literature
1.
Dainer M, Hall CD, Choe J et al (1998) Pregnancy following incontinence surgery. Int Urogynecol J Pelvic Floor Dysfunct 9:385–390CrossRefPubMed
2.
Wei JT, Dunn RL, Hoag L, Faerber G, Dorr R, McGuire EJ (2003) The incontinence symptom index (ISI): a novel and practical symptom score for the evaluation of urinary incontinence severity. J Urol 169:33
3.
Rortveit G, Hannestad YS, Daltveit AK, Hunskaar S (2001) Age and type-dependent effects of parity on urinary incontinence. The Norwegian EPINCONT study. Obstet Gynaecol 98(6):1004–1010CrossRef
4.
Toh K, Diokno AC (2002) Management of intrinsic sphincter deficiency in adolescent females with normal bladder emptying function. J Urol 168:1150–1153CrossRefPubMed
5.
Mainprize TC, Drutz HP (1988) The Marshall-Marchetti-Krantz procedure: a critical review. Obstet Gynecol Surv 43:724–729CrossRefPubMed
6.
Abu-Heija AT (1994) Long-term results of colposuspension operation for genuine stress incontinence. Asia Oceania J Obstet Gynaecol 20:179–181PubMed
7.
Panel L, Triopon G, Courtieu C et al (2008) How to advise a woman who wants to get pregnant after a sub-urethral tape placement? Int Urogynecol J Pelvic Floor Dysfunct 19:347–350CrossRefPubMed
8.
Groenen R, Vos MC, Willekes C, Vervest HAM (2008) Pregnancy and delivery after mid-urethral sling procedures for stress urinary incontinence: case reports and a review of literature. Int Urogynecol J Pelvic Floor Dysfunct 19(3):441–448CrossRefPubMed
9.
Rezapour M, Ulmsten U (2001) Tension-free vaginal tape in women with recurrent stress urinary incontinence—a long-term follow-up. Int Urogynecol J Pelvic Floor Dysfunct 13:133–135
10.
Chaikin DC, Rosenthal J, Blaivas JG (1998) Pubovaginal fascial sling for all types of stress urinary incontinence: long term analysis. J Urol 160:1312CrossRefPubMed
11.
Cros CA, Cespedes DR, McGuire EJ (1998) Our experience with pubovaginal slings in patients with stress urinary incontinence. J Urol 159:1195CrossRef
12.
Petrou SP, Frank I (2001) Complications and initial continence rates after a repeat pubovaginal sling procedure for recurrent stress urinary incontinence. J Urol 165:1979–1981CrossRefPubMed
Metadata
Title
Long-term durability of pubovaginal fascial slings in women who then become pregnant and deliver
Authors
Hung-Jui Tan
Wendy Siu
Gary J. Faerber
Edward J. McGuire
Jerilyn M. Latini
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 6/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1098-0

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