Obstetrical Management Following Incontinence Surgery.

Accession number;99A0225428
Title;Obstetrical Management Following Incontinence Surgery.
Author; CASPER F W (Univ. Hospital, Mainz, Deu) LINN J F (Univ. Hospital, Mainz, Deu) BLACK P (Univ. Hospital, Mainz, Deu)
Journal Title;J Obstet Gynaecol Res
Journal Code:Y0696A
ISSN:1341-8076
VOL.25;NO.1;PAGE.51-53(1999)
Figure&Table&Reference;TBL.2, REF.10
Pub. Country;Japan
Language;English
Abstract;Objective: To analyze in a retrospective fashion our experiences with obstetrical management following previous incontinence surgery. Methods: Between 1990 and 1997 4 women presented to our institution in the third trimester of pregnancy with a history of colposuspension performed 3 months to 4 years before onset of pregnancy for second degree stress incontinence. Three of 4 patients, experienced recurrent incontinence during the third trimester. Results: A cesarean section was performed before the onset of labor in all 4 patients Postpartal pelvic floor exercises were prescribed and a follow-up ensued after 6 and 11 months in the form of a questionnaire. While incontinence persisted in 2 patients for 6 months, all 4 patients demonstrated complete continence after one year. Conclusions: We consider an elective cesarean section to be the optimal mode of delivery in women with a history of incontinence surgery. (author abst.)
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