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Pregnancy after Mainz pouch urinary diversion

S Schumacher1, J Fichtner, R Stein

  • 1Department of Urology, Medical School Mainz and Marienhospital Gelsenkirchen, Germany.

The Journal of Urology
|September 25, 1997
PubMed
Summary

Pregnancies in women with a Mainz pouch (continent ileocecal reservoir with catheterizable stoma) are feasible. Careful management by urologists and obstetricians is crucial for successful outcomes in these high-risk pregnancies.

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Area of Science:

  • Urology
  • Obstetrics
  • Reproductive Medicine

Background:

  • Urinary diversion techniques are evolving for patients with lower urinary tract dysfunction.
  • Continent urinary diversion, such as the Mainz pouch, offers an alternative to traditional methods.
  • Assessing the impact of these diversions on pregnancy outcomes is essential.

Purpose of the Study:

  • To evaluate the experience of pregnancies and deliveries in women with a continent ileocecal reservoir (Mainz pouch).
  • To identify potential complications and assess the safety of pregnancy following this type of urinary diversion.

Main Methods:

  • Retrospective analysis of six women aged 18-33 who experienced pregnancies after Mainz pouch urinary diversion.
  • Underlying conditions included bladder exstrophy, meningomyelocele, and urogenital sinus.

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  • All deliveries were managed via cesarean section, with joint involvement of obstetricians and urologists.

    • Main Results:

    • Seven pregnancies occurred in six women, resulting in seven healthy newborns.
    • Three pregnancies were uneventful; complications included ureteral dilatation (4 cases), pyelonephritis (4 cases), and premature labor (1 case).
    • Cesarean sections were performed without complications, and a nipple prolapse was successfully managed.

    Conclusions:

    • Pregnancy is not contraindicated in women with Mainz pouch urinary diversion.
    • Interdisciplinary cooperation between urologists and obstetricians is vital for managing potential complications in these high-risk pregnancies.
    • Further evaluation is needed for other forms of continent urinary diversion.