2015
DOI: 10.1136/bcr-2015-209304
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Management of pregnancy after augmentation cystoplasty

Abstract: SUMMARYWe report a case of successful pregnancy following augmentation ileocystoplasty in a patient with a neurogenic bladder dysfunction. A review of the literature reveals incidences of premature delivery and renal dysfunction. Careful urological monitoring of such patients should result in a successful pregnancy. Nevertheless, the unique clinical challenges and management options published to date are limited. BACKGROUND

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Cited by 9 publications
(4 citation statements)
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“…Shaikh et al (2006) conclude that while there may be an increased need for LSCS in such patients, pregnancies are generally safe for both mothers and babies. Correia et al (2015) note that UTI and hydro nephrosis are common in pregnant women with AC and this can lead to preterm labour. While there is no strict consensus about the most appropriate method of delivery, all of the literature does agree that close liaison between obstetricians and urologists is essential.…”
Section: Discussionmentioning
confidence: 99%
“…Shaikh et al (2006) conclude that while there may be an increased need for LSCS in such patients, pregnancies are generally safe for both mothers and babies. Correia et al (2015) note that UTI and hydro nephrosis are common in pregnant women with AC and this can lead to preterm labour. While there is no strict consensus about the most appropriate method of delivery, all of the literature does agree that close liaison between obstetricians and urologists is essential.…”
Section: Discussionmentioning
confidence: 99%
“…The level of evidence of each study was evaluated via the criteria provided by the Oxford Center for Evidence-Based Medicine ( 35 ). The methodological quality of the non-randomized studies included in this meta-analysis was assessed by Newcastle Ottawa Scale ( 36 ). The detailed assessment was summarized in Supplementary Table-1.…”
Section: Methodsmentioning
confidence: 99%
“…Serum blood levels of the above should be closely monitored in pregnancy. 28 Presently, women with incomplete bladder emptying and sphincter overactivity are offered intermittent catheterisation. This method may not be suitable for all and is associated with UTIs.…”
Section: Screening For Ntdsmentioning
confidence: 99%
“…Women with urinary and bowel diversion procedures who require caesarean section for an obstetric indication will need surgical input at delivery from colorectal and urology teams. 28 This includes women with augmentation cystoplasty, who often have anatomical alterations from the bladder augmentation surgery. The gravid uterus can exacerbate these changes further.…”
Section: Intrapartummentioning
confidence: 99%