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World Journal of Urology

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01-02-2020 | Epispadia | Original Article

Pregnancy following urinary tract reconstruction using bowel segments: a review of published literature

Authors: Nina Huck, Stefanie Schweizerhof, Raimund Stein, Patrick Honeck

Published in: World Journal of Urology | Issue 2/2020

Abstract

Purpose

To provide a literature review of the urological and obstetric outcomes during and after pregnancy following urinary diversion using bowel segments.

Methods

A systematic literature research by specific keywords was performed in February 2017. Relevant articles were assessed and available parameters such as, e.g., number of included patients, indication for and type of urinary diversion, birth mode and complications during and after pregnancy were evaluated.

Results

We found 61 relevant articles published between 1961 and 2017. Overall, data of 282 females carrying 330 babies within 395 pregnancies were listed. Birth was via vaginal delivery in 132 cases, while 183 females delivered via elective or emergency cesarean. The main urological complications during pregnancy were urinary tract infections, pyelonephritis and dilatation of the upper urinary tract. In total, 155 episodes of pyelonephritis (39.2%) were reported, but no major or persisting complications occurred.

Conclusion

After urinary diversion, pregnancy is possible without major complications. Due to an increased risk of pyelonephritis and dilatation of the upper urinary tract requiring intervention, these pregnancies should be considered high risk. Vaginal delivery as well as delivery by cesarean is feasible, but should be carried out in centers of expertise with urological stand-by.

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Title: Pregnancy following urinary tract reconstruction using bowel segments: a review of published literature
Authors: Nina Huck
Stefanie Schweizerhof
Raimund Stein
Patrick Honeck
Publication date: 01-02-2020
Publisher: Springer Berlin Heidelberg
Keywords: Epispadia
Pyelonephritis
Pyelonephritis
Published in: World Journal of Urology / Issue 2/2020
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-019-02781-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pregnancy following urinary tract reconstruction using bowel segments: a review of published literature

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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