Effects of Pregnancy and Delivery in Women with Previous Surgery for Stress Urinary Incontinence with Suburethral Band: A Bibliographic Review


The continence status and the most adequate form of delivery were assessed in pregnant women who had a suburethral band to treat stress urinary incontinence (SUI). A group of 57 women selected from different articles published between 2000 and 2014 were reviewed. These women had become pregnant after having undergone a suburethral band procedure. Different aspects such as age, parity, type of band, time elapsed between the procedure and the pregnancy, SUI during pregnancy and after delivery, and the form of delivery were evaluated, as well as the possible relationship with the recurrence of SUI and the emergence of complications associated with the suburethral during pregnancy. A case of a complication related to a suburethral band was found in one patient who developed an episode of pyelonephritis and intermittent urethral obstruction which required a Foley catheter. Thirty patients had cesarean section while 27 had vaginal deliveries; 12 patients had incontinence during pregnancy and 15 suffered from it after delivery. Postpartum SUI in relation with the delivery form did not show statistically relevant differences between the cesarean section group and the vaginal delivery group. It was observed that the emergence of SUI during pregnancy was a risk factor for the onset of postpartum SUI (OR = 6.47; p = 0.0137). The risk of developing postpartum SUI seems similar regardless the delivery form, thus it is plausible to recommend vaginal delivery to these patients. If there was a recurrence of SUI, a second suburethral band could be placed which would be as effective as the first one and would involve a lower risk surgery compared to a cesarean section.

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Rossa, N. , Izquierdo, M. , Segovia, M. and Arranz, F. (2015) Effects of Pregnancy and Delivery in Women with Previous Surgery for Stress Urinary Incontinence with Suburethral Band: A Bibliographic Review. Open Journal of Obstetrics and Gynecology, 5, 849-854. doi: 10.4236/ojog.2015.515120.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Hannestad, Y.S., Rortveir, G., Sandvik, H. and Hunskaar, S. (2000) A Community-Based Epidemiological Survey of Female Urinary Incontinence: The Norwegian EPINCONT Study. Epidemiology of Incontinence in the Country of Nord-Trondelag. Journal of Clinical Epidemiology, 53, 1150-1157.
[2] Rekers, H., Drogendijk, A.C., Valkenburg, H. and Riphagen, F. (1992) Urinary Incontinence in Women from 35 to 79 Years of Age: Prevalence and Consequences. European Journal of Obstetrics & Gynecology and Reproductive Biology, 43, 229-234.
[3] Van der Vaart, C.H., de Leeuw, J.R., Roovers, J.P. and Heintz, A.P. (2000) The Influence of Urinary Incontinence on Quality of Life of Community-Dwelling, 45-70-Year Old Dutch Women. Nederlands Tijdschrift Voor Geneeskunde, 144, 894-897.
[4] Pyrat, L., Haillot, O., Bruyere, F., Boutin, J.M., Bartrand, P. and Lanson, Y. (2002) Prevalence and risk factors of urinary incontinence in Young and middle-aged Women. BJU International, 89, 61-66.
[5] Kean, D.P., Sims, T.J., Abrams, P. and Bailey, A.J. (1997) Analysis of Collagen Status in Premenopausal Nulliparous Women with Genuine Stress Incontinence. BJOG, 104, 994-998.
[6] King, J.K. and Freeman, R.M. (1998) Is Antenatal Bladder Neck Mobility a Risk Factor for Postpartum Stress Incontinence. BJOG, 105, 1300-1307.
[7] Rortveit, G., Hannestad, Y.S., Daltveir, A.K. and Hunskaar, S. (2001) Age- and Type-Dependent Effects of Parity on Urinary Incontinence: The Norwegian EPINCONT Study. Obstetrics & Gynecology, 98, 1004-1010.
[8] Van Brummen, H.J., Bruinse, H.W., Van Der Bom, J.G., Heintz, A.P. and Van Der Vaart, C.H. (2006) How Do the Prevalences of Urogenital Symptoms Change during Pregnancy. Neurourology and Urodynamics, 25, 135-139.
[9] Dietz, H.P. and Lanzarone, V. (2005) Levator Trauma after Vaginal Delivery. Obstetrics & Gynecology, 106, 707-712.
[10] Iskander, M.N. and Kapoor, D. (2000) Pregnancy Following Tension-Free Vaginal Taping. International Urogynecology Journal, 11, 199-200.
[11] Lynch, C.M., Powers, A.K. and Keating, A.B. (2001) Pregnancy Complicated by a Suburethral Sling: A Case Report. International Urogynecology Journal, 12, 218-219.
[12] Gaurunder-Burmester, A. and Tunn, R. (2001) Pregnancy and Labor after TVT-Plasty. Acta Obstetricia et Gynecologica Scandinavica, 80, 283-284.
[13] Vella, M., Robinson, D., Brown, R. and Cardozo, L. (2007) Pregnancy and Delivery Following Tension-Free Vaginal Tape. International Urogynecology Journal, 18, 347-348.
[14] Hassan, M.S., Yossri, N. and Davies, A. (2007) Vaginal Delivery after Surgical Treatment for Stress Incontinence Using Trasobturator Tape: A Case Report. BJOG, 114, 113-114.
[15] Panel, L., Triopon, G., Courtieu, C., Marès, P. and de Tayrac, R. (2008) How to Advise a Woman Who Wants to Get Pregnant after a Sub-Urethral Tape Placement? International Urogynecology Journal, 19, 347-350.
[16] Groenen, R., Vos, M.C., Willekes, C. and Vervest, H.A. (2008) Pregnancy and Delivery after Mid-Urethral Sling Procedures for Stress Urinary Incontinence: Case Reports and a Review of Literatura. International Urogynecology Journal, 19, 441-448.
[17] Cavkaytar, S., Kokanali, M.K., Ozer, I., Erkilinc, S., Aksakal, O.S. and Doganay, M. (2015) Effect of Pregnancy and Delivery on Urinary Incontinence after the Midurethral Sling Procedure. International Urogynecology Journal, 26, 693-698.
[18] Sergent, F. and Marpeau, L. (2007) Recurrence of Stress Urinaty Incontinence after Tension-Free Vaginal Tape and Childbirth. Gynécologie Obstétrique & Fertilité, 35, 1239-1241.
[19] Demaria, F., Chanelles, O., Boquet, B., Bricou, A., Amarenco, G. and Benifla, J.L. (2007) Vaginal delivery after tensión-free vaginal tape procedure. International Urogynecology Journal, 18, 1363-1365.
[20] El-Ghobashy, A., Haw, W., Brook, G. and Clavert, S. (2007) Pregnancy after TVT-O Case Report and Literature Review. International Urogynecology Journal, 18, 1491-1493.
[21] Kohorst, F., Flock, F., Kreienberg, R. and Reich, A. (2010) Pregnancy and Delivery after Tension-Free Vaginal Tape (TVT) Procedure: Literatura Review and Case Report. European Journal of Obstetrics & Gynecology and Reproductive Biology, 151, 10-13.
[22] Sedlakova, K., Huser, M. and Belkov, I. (2011) Vaginal Delivery after Tension-Free Vaginal Tape Insertion. Med. Prakt Gynecol., 15, 42-46.
[23] Adams-Piper, E., Darbinian, J., Postlethwaite, D. and Castillo, P.A. (2014) Pregnancy after Transvaginal Sling for Stress Urinary Incontinence: A Case Series. Female Pelvic Medicine & Reconstructive Surgery, 20, 212-215.
[24] Glazener, C.M., Herbison, G.P., MacArthur, C., Grant, A. and Wilson, P.D. (2005) Randomised Controlled Trial of Conservative Management of Postnatal Urinary and Faecal Incontinence: Six Year Follow Up. BMJ, 330, 337.
[25] Riachi, L., Kohli, N. and Miklos, J. (2002) Repeat Tension-Free Transvaginal Tape (TVT) Sling for the Treatment of Recurrent Stress Urinary Incontinence. International Urogynecology Journal, 13, 133-135.

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