OBJECTIVES: The aim of this study is to assess the incidence, medical course, and outcomes of women who carried a pregnancy to delivery after the placement of a transvaginal mesh sling for treatment of stress urinary incontinence (SUI) in a closed health care system.
METHODS: We conducted a retrospective case series of 15 women identified within the Kaiser Permanente Northern California region based on coding for placement of a sling for SUI. Records were cross-matched against the records of live births. The electronic medical records of subjects were extensively reviewed.
RESULTS: Fifteen patients were identified and included in the analysis. Twelve patients had retropubic midurethral slings, 2 patients had transobturator slings, and one had a single-incision sling procedure. Ten of 15 were delivered via cesarean delivery. Five of the 15 patients had concomitant prolapse surgery at the time of sling placement; all of these patients had cesarean deliveries. There were no reports of voiding dysfunction or sling-related complications during pregnancy. Eleven of 15 patients were dry after the sling procedure, and 9 of the 15 were dry after delivery. No patients have had additional procedures or interventions for SUI after pregnancy.
CONCLUSIONS: Our case series may suggest that vaginal delivery is not contraindicated and sling-related complications during pregnancy are not prevalent.
Written by:
Adams-Piper E, Darbinian J, Postlethwaite D, Castillo PA. Are you the author?
Department of Obstetrics and Gynecology, Kaiser Permanente, Santa Clara; and Division of Research, Kaiser Permanente, Oakland, CA.
Reference: Female Pelvic Med Reconstr Surg. 2014 Jul-Aug;20(4):212-5.
doi: 10.1097/SPV.0000000000000096
PubMed Abstract
PMID: 24978087
UroToday.com Stress Urinary Incontinence Section
