Dibyendu Roy
Calcutta national medical College and hospital, IndiaPresentation Title:
A Cheaper Alternative to Conventional Mid-urethral Sling Surgery Can Also Have Comparable Obstetric Outcome in the Long Term: A Case Report
Abstract
Stress urinary incontinence (SUI) is a
common disorder in females, which significantly affects the quality of life in
females. There are many consensus that describe the safety of childbearing
after surgery for SUI, but still, a large proportion of surgeons worldwide
recommend that women should wait to complete childbearing before pursuing
surgical treatment for SUI. There is also some opinion that if patients
conceive after surgical treatment for SUI, women should be delivered by
cesarean section.Aacording to Nahshon et al meta analysis of observation and
studies suggests the risk of recurrent and or reoperation among women who
undergone MUS for SUI remain same following subsequent delivery.As vaginal
delivery has more impact on pelvic floor morbidity than C/S delivery so the
mode of delivery following MUS surgery can impact the chance of recurrence or
reoperation too.According to Clancy and Stairs due to wide range of less
invasive treatment option(pelvic floor exercise,peri urethral debulking,
meditation)MUS procedure before completion of child bearing may be delayed when
possible.Trans obturator tape (TOT) procedure is the most commonly performed
mid-urethral sling (MUS) surgery for the treatment of SUI. We are reporting a
case where a P2+0 woman underwent a TOT procedure where we used a cheaper
alternative to a conventional TOT kit. She conceived and underwent spontaneous
vaginal delivery after the procedure. She remained continent in the follow-up
even after one year of vaginal delivery.
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