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Clam enterocystoplasty and pregnancy
N Fenn1, J W Barrington, T P Stephenson
1Department of Urology, Cardiff Royal Infirmary, UK.
Objective:
To assess the course and outcome of pregnancy in patients who have undergone clam enterocystoplasty.
Patients And Methods:
A retrospective study was carried out of 19 pregnancies in 18 women aged from 21 to 36 years who had undergone clam enterocystoplasty.
Results:
Urinary tract infection was common but renal function remained normal with prompt treatment with antibiotics. No other adverse antenatal factors were identified and all pregnancies had a normal fetal outcome. Vaginal delivery was a safer option for these patients, even in those who had undergone an anti-incontinence procedure in addition to enterocystoplasty.
Conclusion:
Careful antenatal monitoring by both an obstetrician and a urologist resulted in a successful pregnancy and vaginal delivery in these patients.