Lynch C M, Powers A K, Keating A B
Department of Obstetrics and Gynecology, University of South Florida, College of Medicine, Tampa, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(3):218-9. doi: 10.1007/s001920170067.
Incontinence surgery is rarely performed prior to the completion of a woman's childbearing. The literature is sparse in regard to women with prior incontinence surgery. There are no reports of pregnancy complicated by a sling procedure. A 26-year-old gravida 3, para 2-0-0-2 with prior surgical history of a Pereyra urethropexy followed by a Vesica suburethral sling, was referred at 18 weeks' gestation for assessment of the sling. Her antenatal course was complicated by pyelonephritis and intermittent urethral obstruction requiring Foley catheter placement. She delivered by scheduled cesarean section at 37 weeks' gestation. Three months following delivery she presented with pyelonephritis and recurrence of her incontinence. Pregnancy complicated by prior suburethral sling procedure may result in urinary outlet obstruction, pyelonephritis and disruption of the surgical repair.
在女性完成生育之前很少进行尿失禁手术。关于有尿失禁手术史的女性的文献较少。没有关于妊娠合并吊带手术的报道。一名26岁、孕3产2-0-0-2的女性，既往有佩雷拉尿道固定术及膀胱尿道下吊带手术史，在妊娠18周时因吊带评估前来就诊。她的产前过程因肾盂肾炎和间歇性尿道梗阻而复杂化，需要留置 Foley 导管。她在妊娠37周时通过计划剖宫产分娩。分娩后三个月，她出现肾盂肾炎和尿失禁复发。既往有尿道下吊带手术史的妊娠可能导致尿路出口梗阻、肾盂肾炎和手术修复破裂。
