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False-positive pregnancy tests following enterocystoplasty.
R S Nakhal1, D Wood, C Woodhouse
1Elizabeth Garrett Anderson UCL Institute of Women's Health, University College London Hospitals, London, UK. rolanakhal@homail.com
BJOG : an International Journal of Obstetrics and Gynaecology
|November 16, 2011
Summary
Young women who underwent enterocystoplasty surgery may experience false-positive pregnancy tests. This overlooked issue can cause patient anxiety and unnecessary medical interventions.
Area of Science:
- Urology
- Pediatric Surgery
- Reproductive Health
Background:
- Enterocystoplasty is a common surgical procedure for congenital bladder malformations.
- Improved surgical outcomes have increased life expectancy for these patients.
- Young adults with enterocystoplasty are transitioning to adult care, including sexual health counseling.
Observation:
- False-positive urinary pregnancy tests are a potential complication in women with enterocystoplasty.
- This possibility is often overlooked in routine patient counseling.
- Three cases illustrate the anxiety and interventions caused by this oversight.
Findings:
- Urinary diversion using intestinal segments can interfere with standard pregnancy test accuracy.
- Lack of awareness among healthcare providers and patients contributes to the problem.
- Accurate diagnostic methods and patient education are crucial.
Implications:
- Healthcare providers must be aware of false-positive pregnancy test risks in enterocystoplasty patients.
- Patient counseling should include specific information about this potential issue.
- Further research is needed to develop reliable pregnancy testing methods for this population.
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