title: Pregnancy in a woman with a continent appendicovesicostomy: a case report.
abstract: BACKGROUND
  Few cases of pregnancy following the Mitrofanoff procedure (continent appendicovesicostomy) have been reported, but in those cases there was an increased rate of cesarean delivery with no long-term consequences to renal function or to the urinary diversion.
  
  
  METHODS
  A 15-year-old primagravida with a prior nephrectomy for a dysplastic kidney and prior continent appendicovesicostomy for urinary retention due to spina bifida occulta and neurogenic bladder had a pregnancy complicated by preterm premature rupture of membranes, preterm labor, breech presentation and cesarean delivery with the assistance of a urologist. The patient had a minimal decline in renal function, and she and the infant did well.
  
  
  CONCLUSIONS
  Cesarean delivery should be reserved for obstetric indications. Surgical assistance by a urologist at the time of cesarean delivery may be helpful.
authors.affiliation: Department of Obstetrics and Gynecology, George Washington University School of Medicine,Washington, DC, USA.
authors.forename: Cindy
authors.initials: C
authors.lastname: Kinder
authors.forename: Susanne L
authors.initials: SL
authors.lastname: Bathgate
authors.forename: Nancy
authors.initials: N
authors.lastname: Gaba
authors.forename: Charles J
authors.initials: CJ
authors.lastname: Macri
mesh_terms: D000293:Adolescent; D001946:Breech Presentation / Q000601:surgery*; D002585:Cesarean Section; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000601:surgery*; D006801:Humans; D006869:Hydronephrosis / Q000503:physiopathology; D007231:Infant, Newborn; D007668:Kidney / Q000503:physiopathology; D009392:Nephrectomy; D011247:Pregnancy; D014547:Urinary Diversion; D016476:Urinary Reservoirs, Continent