A Cheaper Alternative to Conventional Mid-urethral Sling Surgery Can Also Have Comparable Obstetric Outcome in the Long Term: A Case Report

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. 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.