How to advise a woman who wants to get pregnant after a sub-urethral tape placement?
Identifieur interne : 004C50 ( Main/Exploration ); précédent : 004C49; suivant : 004C51How to advise a woman who wants to get pregnant after a sub-urethral tape placement?
Auteurs : Laure Panel [France] ; Grégory Triopon [France] ; Christophe Courtieu [France] ; Pierre Marès [France] ; Renaud De Tayrac [France]Source :
- International Urogynecology Journal [ 0937-3462 ] ; 2008-03-01.
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Abstract
Abstract: Our objective was to make recommendations for the follow-up of pregnancies and the choice of delivery route for patients becoming pregnant after surgical treatment of stress urinary incontinence (SUI) by tension-free vaginal tape (TVT) or trans-obturator tape (TOT). We performed a retrospective survey on pregnancies after surgical treatment of SUI. Nineteen physicians out of 3,400 contacted reported a total of 20 pregnancies after TVT or TOT. Three patients had recurrent SUI during pregnancy. No major complications of the tape occurred during pregnancy. Ten patients out of 20 delivered vaginally, and nine had a caesarean section. Mean follow-up after delivery was 13.8 months (1 to 52). Recurrence of SUI was observed in 3 of 20 (15%) during pregnancy and in 3 of 18 (16.7%) after delivery. The global rate of recurrence was 4 of 18 (22.2%). Recurrence of SUI was two of ten cases after vaginal delivery (20%) and in one of eight after caesarean section (12.5%; p = 0.58). Vaginal delivery did not increase the risk of recurrence.
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DOI: 10.1007/s00192-007-0444-3
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wicri:rule="url">France</country></affiliation></author></analytic><monogr></monogr><series><title level="j">International Urogynecology Journal</title><title level="j" type="sub">Including Pelvic Floor Dysfunction</title><title level="j" type="abbrev">Int Urogynecol J</title><idno type="ISSN">0937-3462</idno><idno type="eISSN">1433-3023</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>London</pubPlace><date type="published" when="2008-03-01">2008-03-01</date><biblScope unit="volume">19</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="347">347</biblScope><biblScope unit="page" to="350">350</biblScope></imprint><idno type="ISSN">0937-3462</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0937-3462</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Pregnancy</term><term>Stress urinary incontinence</term><term>Sub-urethral 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We performed a retrospective survey on pregnancies after surgical treatment of SUI. Nineteen physicians out of 3,400 contacted reported a total of 20 pregnancies after TVT or TOT. Three patients had recurrent SUI during pregnancy. No major complications of the tape occurred during pregnancy. Ten patients out of 20 delivered vaginally, and nine had a caesarean section. Mean follow-up after delivery was 13.8 months (1 to 52). Recurrence of SUI was observed in 3 of 20 (15%) during pregnancy and in 3 of 18 (16.7%) after delivery. The global rate of recurrence was 4 of 18 (22.2%). Recurrence of SUI was two of ten cases after vaginal delivery (20%) and in one of eight after caesarean section (12.5%; p = 0.58). Vaginal delivery did not increase the risk of recurrence.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Languedoc-Roussillon</li><li>Occitanie (région administrative)</li></region><settlement><li>Montpellier</li><li>Nîmes</li></settlement></list><tree><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Panel, Laure" sort="Panel, Laure" uniqKey="Panel L" first="Laure" last="Panel">Laure Panel</name></region><name sortKey="Courtieu, Christophe" sort="Courtieu, Christophe" uniqKey="Courtieu C" first="Christophe" last="Courtieu">Christophe Courtieu</name><name sortKey="De Tayrac, Renaud" sort="De Tayrac, Renaud" uniqKey="De Tayrac R" first="Renaud" last="De Tayrac">Renaud De Tayrac</name><name sortKey="De Tayrac, Renaud" sort="De Tayrac, Renaud" uniqKey="De Tayrac R" first="Renaud" last="De Tayrac">Renaud De Tayrac</name><name sortKey="Mares, Pierre" sort="Mares, Pierre" uniqKey="Mares P" first="Pierre" last="Marès">Pierre Marès</name><name sortKey="Triopon, Gregory" sort="Triopon, Gregory" uniqKey="Triopon G" first="Grégory" last="Triopon">Grégory Triopon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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