Detailed Information on Publication Record
2012
Pregnancy and delivery following midurethral sling surgery for stress urinary incontinence
HUSER, Martin, Atanas-Ivan BELKOV, Petr JANKŮ and Kateřina SEDLÁKOVÁBasic 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.