Pregnancy in a woman with a continent appendicovesicostomy: a case report.
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.
Kinder
Cindy
C
Department of Obstetrics and Gynecology, George Washington University School of Medicine,Washington, DC, USA.
Bathgate
Susanne L
SL
Gaba
Nancy
N
Macri
Charles J
CJ
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