Pregnancy after lower urinary tract reconstruction in women.
OBJECTIVE
We determined if pregnant women with reconstructed lower urinary tracts experience complications related to the urological reconstruction.


METHODS
A total of 27 women (34 pregnancies) with reconstructed lower urinary tracts underwent regular urinalysis, blood biochemistry studies and ultrasound examinations during pregnancy and for a minimum of 1 year after delivery.


RESULTS
There were 28 normal, full-term vaginal deliveries without complication. A total of 6 patients underwent cesarean section, with injury to the vascular pedicle of the cystoplasty without sequelae occurring in 1. Temporary postpartum incontinence occurred in 6 patients.


CONCLUSIONS
Patients with reconstructed lower urinary tracts can experience normal deliveries but require close surveillance. The route of delivery should be determined by obstetrical indications.
Creagh
T A
TA
Academic Department of Urology, Guy's Hospital, London, United Kingdom.
McInerney
P D
PD
Thomas
P J
PJ
Mundy
A R
AR
D005260:Female; D006801:Humans; D011247:Pregnancy; D016741:Urinary Sphincter, Artificial