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Clam enterocystoplasty and pregnancy
N Fenn1, J W Barrington, T P Stephenson
1Department of Urology, Cardiff Royal Infirmary, UK.
British Journal of Urology
|January 1, 1995
Summary
Pregnancy after clam enterocystoplasty is feasible, with careful monitoring leading to successful outcomes. Vaginal delivery is recommended for patients who have undergone this bladder augmentation procedure.
Area of Science:
- Urology
- Obstetrics
- Reproductive Medicine
Background:
- Clam enterocystoplasty is a surgical procedure for bladder augmentation.
- Pregnancy in women with a history of enterocystoplasty presents unique clinical considerations.
Purpose of the Study:
- To evaluate the course and outcomes of pregnancies in women who have undergone clam enterocystoplasty.
- To identify potential risks and successful management strategies for these pregnancies.
Main Methods:
- Retrospective study of 19 pregnancies in 18 women.
- Patients aged 21–36 years with a history of clam enterocystoplasty.
Main Results:
- Urinary tract infections were common but managed effectively with antibiotics, preserving renal function.
- All pregnancies resulted in normal fetal outcomes without other adverse antenatal factors.
- Vaginal delivery was identified as a safer delivery option, including for those with additional anti-incontinence procedures.
Conclusions:
- Close antenatal monitoring by obstetricians and urologists is crucial for successful pregnancy outcomes.
- Successful pregnancy and vaginal delivery are achievable in patients with a history of clam enterocystoplasty.
- This study supports a multidisciplinary approach to managing pregnancy in this patient population.