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Uncomplicated Vaginal Delivery Following Midurethral Sling

Lewis, Christa M. DO; Salamon, Charbel MD; Culligan, Patrick MD

Female Pelvic Medicine & Reconstructive Surgery: May/June 2011 - Volume 17 - Issue 3 - pp 147-148
doi: 10.1097/SPV.0b013e3182175f54
Case Reports

Background: Delivery mode following midurethral sling remains controversial. There are no formal guidelines as to the preferred mode of delivery following midurethral sling.

Case: A 33-year-old gravida 2 para 2 underwent midurethral sling placement 16 months after the delivery of her first child for severe stress urinary incontinence (SUI). She conceived 2 months postprocedure and had an uneventful antepartum course. She remained without any SUI and delivered via uncomplicated spontaneous vaginal delivery at 38 weeks' gestation. One year after her delivery, she was still free of SUI symptoms.

Conclusions: Midurethral sling placement may be a valid treatment option for patients with stress incontinence even if they are contemplating future pregnancies and subsequent vaginal delivery.

Vaginal delivery after TVT placement appears to be a valid consideration for women.

From the Urogynecology and Reconstructive Pelvic Surgery, Atlantic Health, Morristown and Summit, NJ.

Reprints: Christa M. Lewis, DO, Division of Urogynecology and Reconstructive Pelvic Surgery, Atlantic Health, 95 Madison Ave, Suite 204, Morristown, NJ 07960. E-mail: Christa.Lewis@atlantichealth.org.

Copyright © 2011 Wolters Kluwer Health, Inc. All rights reserved.