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[Ileocystoplasty, pregnancy and delivery].
R Walder1, P Mouriquand2, A Ruffion3
1Pôle de gynécologie-obstétrique, hôpital de la Croix-Rousse, 103, boulevard de la Croix-Rousse, 69004 Lyon, France.
Summary
Pregnancy after ileocystoplasty surgery is feasible, with urinary tract infections being the main concern. Obstetrical complications were similar to general pregnancies, and delivery type depends on individual surgical history.
Area of Science:
- Urology
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Bladder augmentation surgery, such as ileocystoplasty, is frequently performed for congenital lower urinary tract anomalies.
- Pregnancy in women with ileocystoplasty presents unique challenges, with limited data on obstetrical outcomes.
- Understanding the impact of bladder reconstruction on pregnancy and delivery is crucial for patient management.
Purpose of the Study:
- To evaluate the obstetrical consequences and delivery outcomes in pregnant women who have undergone ileocystoplasty.
- To identify potential complications and management strategies for these pregnancies.
Main Methods:
- A retrospective analysis of eight pregnancies in six women with ileocystoplasty between 1998 and 2014.
- Follow-up included monitoring for maternal and fetal well-being, obstetrical complications, and delivery methods.
Main Results:
- Urinary tract infections (UTIs) were the most common complication, occurring in 5 patients (7 pregnancies).
- Obstetrical complications were comparable to those in the general pregnant population.
- Delivery was typically programmed around 37 weeks of gestation, with a preference for Cesarean section, though vaginal delivery is possible.
Conclusions:
- Urological complications, particularly UTIs, represent the primary challenge in pregnant patients with ileocystoplasty.
- Delivery management should be individualized based on the patient's surgical history and obstetrical prognosis.
- While pregnancy is generally safe, careful monitoring and management are essential for optimal outcomes.
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