Clam enterocystoplasty and pregnancy.
OBJECTIVE
To assess the course and outcome of pregnancy in patients who have undergone clam enterocystoplasty.


METHODS
A retrospective study was carried out of 19 pregnancies in 18 women aged from 21 to 36 years who had undergone clam enterocystoplasty.


RESULTS
Urinary tract infection was common but renal function remained normal with prompt treatment with antibiotics. No other adverse antenatal factors were identified and all pregnancies had a normal fetal outcome. Vaginal delivery was a safer option for these patients, even in those who had undergone an anti-incontinence procedure in addition to enterocystoplasty.


CONCLUSIONS
Careful antenatal monitoring by both an obstetrician and a urologist resulted in a successful pregnancy and vaginal delivery in these patients.
Department of Urology, Cardiff Royal Infirmary, UK.
N
N
Fenn
J W
JW
Barrington
T P
TP
Stephenson
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D007422:Intestines / Q000601:surgery*; D016742:Preconception Care; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D001743:Urinary Bladder / Q000601:surgery*; D014555:Urination Disorders / Q000601:surgery*