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Gynécologie Obstétrique & Fertilité
Volume 35, n° 12
pages 1239-1241 (décembre 2007)
Doi : 10.1016/j.gyobfe.2007.10.010
Received : 21 June 2007 ;  accepted : 5 October 2007
Récidive d'incontinence urinaire d'effort après bandelette sous-urétrale et accouchement
Recurrence of stress urinary incontinence after tension-free vaginal tape and childbirth

F. Sergent , L. Marpeau
Clinique gynécologique et obstétricale, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France 

Auteur correspondant.

Les bandelettes sous-urétrales rétropubiennes ou transobturatrices sont le nouveau traitement chirurgical de choix de l'incontinence urinaire d'effort féminine. Certaines femmes en âge de procréer peuvent être porteuses d'une bandelette sous-urétrale. Il n'existe pas actuellement de données suffisantes pour recommander un mode d'accouchement plutôt qu'un autre chez ces patientes. Nous rapportons le cas d'une femme jeune, guérie de son incontinence urinaire par une bandelette sous-urétrale. Une récidive est survenue après un accouchement par voie naturelle. Une seconde bandelette sous-urétrale a permis de rétablir la continence. Une autre grossesse est survenue. Une césarienne prophylactique a été tout aussi inefficace pour préserver la continence.

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Retropubic or transobturator insertions of suburethral tapes are the new gold standard surgical procedure for female stress urinary incontinence. Some women of childbearing age can be treated by a suburethral tape. There are at present no sufficient data to recommend a mode of delivery rather than another in these patients. We report the case of a young woman, cured of her urinary incontinence by a suburethral tape. A recurrence occurred after childbirth by vaginal route. A second suburethral tape made it possible to restore the continence. The patient became again pregnant. A preventive caesarean section was quite as ineffective to preserve the continence.

The full text of this article is available in PDF format.

Mots clés : Accouchement, Bandelette sous-urétrale (BSU), Grossesse, Récidive, Tension-free vaginal tape (TVT)

Keywords : Delivery, Suburethral tape, Recurrence, Pregnancy, Tension-free vaginal tape (TVT)

© 2007  Elsevier Masson SAS. All Rights Reserved.
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