J 2012

Pregnancy and delivery following midurethral sling surgery for stress urinary incontinence

HUSER, Martin, Atanas-Ivan BELKOV, Petr JANKŮ and Kateřina SEDLÁKOVÁ

Basic information

Original name

Pregnancy and delivery following midurethral sling surgery for stress urinary incontinence

Authors

HUSER, Martin (203 Czech Republic, guarantor, belonging to the institution), Atanas-Ivan BELKOV (203 Czech Republic, belonging to the institution), Petr JANKŮ (203 Czech Republic, belonging to the institution) and Kateřina SEDLÁKOVÁ (203 Czech Republic, belonging to the institution)

Edition

International Journal of Gynecology and Obstetrics, 2012, 0020-7292

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 1.836

RIV identification code

RIV/00216224:14110/12:00061045

Organization unit

Faculty of Medicine

UT WoS

000309895700004

Keywords in English

Cesarean delivery; Delivery; Midurethral sling; Pregnancy; Stress urinary incontinence

Tags

International impact
Změněno: 13/10/2013 13:21, prof. MUDr. Martin Huser, Ph.D., MBA

Abstract

V originále

Objective: To analyze the available clinical evidence on the continued effectiveness of midurethral sling (MUS) surgery for stress urinary incontinence (SUI) in women who become pregnant and undergo delivery, and then to determine the optimal mode of delivery for such women. Methods: An online search was carried out to retrieve the available evidence regarding the risk of SUI recurrence during pregnancy and after delivery following a successful MUS treatment. Appropriate keywords were used to identify all relevant reports published from 1996 through 2011. Basic patient characteristics, mode of delivery, and presence of SUI during pregnancy and the postpartum were analyzed. Results: No more than 36 relevant cases were found. The overall urinary continence rates were 91.7% during pregnancy and 80.6% during the postpartum. Most (58.3%) of the women were delivered vaginally. Conclusion: The evidence indicates that the risk of SUI recurrence is not significantly different after a vaginal or a cesarean delivery. In women successfully treated with a MUS, pregnancy care and delivery mode therefore need to be considered case by case, according to factors other than the risk of recurrence.

Files attached

Huser_IJGO_2012_Pregnancy_and_delivery_following_midurethral_sling_surgery_for_SUI.pdf
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