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Pregnancy in patients with the artificial urinary sphincter
1Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
The Journal of Urology
|August 1, 1993
Summary
Artificial urinary sphincter implantation in women with incontinence is safe for pregnancy. Functioning devices did not increase pregnancy or delivery complications, enabling normal childbirth.
Area of Science:
- Urology
- Obstetrics
- Gynecology
Background:
- Urinary incontinence affects women of all ages.
- Artificial urinary sphincters (AUS) are used to treat urinary incontinence.
Purpose of the Study:
- To evaluate the safety and outcomes of pregnancy and delivery in women with an artificial urinary sphincter.
Main Methods:
- Retrospective review of 71 female patients (ages 3-25) who received an AUS.
- Analysis of pregnancy, delivery, and childbirth outcomes in 9 patients who conceived with a functional AUS.
Main Results:
- 9 patients conceived, delivering 11 healthy infants.
- All pregnancies and deliveries were normal, with no significant changes in continence.
- 4 women had cesarean sections; 7 had vaginal deliveries.
Conclusions:
- Artificial urinary sphincter implantation does not increase risks during pregnancy and childbirth.
- Women with functional AUS can safely carry pregnancies to term and deliver normally.