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

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 o...

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Bibliographic Details
Published in:International Urogynecology Journal 2010-06, Vol.21 (6), p.631-635
Main Authors: Tan, Hung-Jui, Siu, Wendy, Faerber, Gary J., McGuire, Edward J., Latini, Jerilyn M.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Cesarean Section - adverse effects
Female
Gynecology
Humans
Medicine
Medicine & Public Health
Original Article
Patient Satisfaction
Postoperative Complications
Pregnancy
Pregnancy Complications
Recurrence
Retrospective Studies
Risk Factors
Suburethral Slings
Surveys and Questionnaires
Urinary Incontinence, Stress - etiology
Urinary Incontinence, Stress - surgery
Urology
Young Adult
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Summary: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.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-010-1098-0