Periurethral Collagen Injection and Pregnancy

Abstract

Stress urinary incontinence is a difficult management problem in young nulliparous or parous women who are contemplating further childbearing. Anti-incontinence surgery offers a good chance for cure but the benefit of surgery is jeopardized by ensuing pregnancy and vaginal delivery. Isolated reports have shown durable cure of incontinence in patients who underwent a Burchl or intravaginal sling procedure,2 and then became pregnant and gave birth by elective cesarean section. While cesarean section may preserve the success of anti-incontinence surgery, it is preferably avoided in the absence of obstetric indications. CASE REPORT