Casper F W, Linn J F, Black P
Department of Obstetrics and Gynecology, University Hospital, Mainz, Germany.
J Obstet Gynaecol Res. 1999 Feb;25(1):51-3. doi: 10.1111/j.1447-0756.1999.tb01122.x.
To analyze in a retrospective fashion our experiences with obstetrical management following previous incontinence surgery.
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.
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.
We consider an elective cesarean section to be the optimal mode of delivery in women with a history of incontinence surgery.
回顾性分析我们在既往有尿失禁手术史的患者产科管理方面的经验。
1990年至1997年间，4名女性在妊娠晚期就诊于我院，她们在妊娠前3个月至4年因二度压力性尿失禁接受了阴道前壁修补术。4名患者中有3名在妊娠晚期出现复发性尿失禁。
所有4例患者均在临产前进行了剖宫产。产后进行了盆底肌锻炼，并在6个月和11个月后以问卷调查的形式进行了随访。虽然2例患者的尿失禁持续了6个月，但所有4例患者在1年后均表现为完全控尿。
我们认为对于有尿失禁手术史的女性，择期剖宫产是最佳分娩方式。
