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.
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.