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Pregnancy after lower urinary tract reconstruction in women
T A Creagh1, P D McInerney, P J Thomas
1Academic Department of Urology, Guy's Hospital, London, United Kingdom.
Purpose:
We determined if pregnant women with reconstructed lower urinary tracts experience complications related to the urological reconstruction.
Materials And Methods:
A total of 27 women (34 pregnancies) with reconstructed lower urinary tracts underwent regular urinalysis, blood biochemistry studies and ultrasound examinations during pregnancy and for a minimum of 1 year after delivery.
Results:
There were 28 normal, full-term vaginal deliveries without complication. A total of 6 patients underwent cesarean section, with injury to the vascular pedicle of the cystoplasty without sequelae occurring in 1. Temporary postpartum incontinence occurred in 6 patients.
Conclusions:
Patients with reconstructed lower urinary tracts can experience normal deliveries but require close surveillance. The route of delivery should be determined by obstetrical indications.
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