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 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. © 2010 The International Urogynecological Association.
Duke Scholars
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Related Subject Headings
- Obstetrics & Reproductive Medicine
- 4204 Midwifery
- 3215 Reproductive medicine
- 1114 Paediatrics and Reproductive Medicine
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Obstetrics & Reproductive Medicine
- 4204 Midwifery
- 3215 Reproductive medicine
- 1114 Paediatrics and Reproductive Medicine