[Continent urinary diversion and pregnancy].
We report on our experience with 7 pregnancies in 6 women who previously underwent reconstruction of the urinary tract with a continent urinary diversion using an ileo caecal segment (Mainz-Pouch I), ureterosigmoidostomy or bladder augmentation. Urinary tract infection and upper tract dilatation were the only complications during pregnancy which required bilateral nephrostomies in one case. All other sequelae were handled conservatively. The continence mechanisms were not compromised during pregnancy or delivery. Deliveries were vaginal in two cases and by Caesarean section in five. All seven newborn were healthy. Pregnancy is not contraindicated after any type of urinary diversion including continent reservoirs. Close urological and gynaecological observation of these women throughout pregnancy is mandatory. The mode of delivery is in the majority of cases guided by obstetric indications. If Caesarean section is necessary, the obstetrician should be familiar with the intraabdominal situation.
Voges
G E
GE
Urologische Klinik und Poliklinik der Johannes Gutenberg-Universität Mainz.
Orestano
L
L
Schumacher
S
S
Hohenfellner
R
R
D000293:Adolescent; D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007744:Obstetric Labor Complications / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000628:therapy; D012307:Risk Factors; D014547:Urinary Diversion / Q000379:methods*; D014552:Urinary Tract Infections / Q000209:etiology / Q000628:therapy