Pregnancy Associated With Uretero‐sigmoid Anastomosis

The Obstetric and Gynaecological Complications of Bladder Exstrophy and Epispadias

“…Clemetson (1958) reported a total of 61 viable pregnancies in 45 women with varying degrees of exstrophy drawn from international literature as far back as 1724, he regarded ascending urinary infection as the major problem. In our experience, in common with Pedlow (1961) who reported three pregnancies after uretero-colic anastomosis, such infection responds well to chemotherapy and we have found no evidence that pregnancy causes deterioration of renal function even when it is already compromised (see Patient 8). Neither have we found any occasion when the altered anatomy of pregnancy has caused significant complication of a ureteric anastomosis or an ileal conduit.…”

“…The place of Caesarean section in these women has provoked considerable difference of opinion. Dawson (1933) recommended classical section in all cases but Pedlow (1961) disagreed after his experience of vaginal delivery in patients with uretero-colic anastomosis. The factors to be considered are the risks to urinary continence following vaginal delivery and the effect that this may have on subsequent prolapse.…”

Pregnancy and delivery in a patient with a Studer orthotopic ileal neobladder

“…The first reports of pregnant patients with urinary diversion began to appear in the sixties [5, 6, 7]. These reports concerned mainly patients with wet urinary diversion, enterocystoplasty or ureterosigmoidostomy due to a neurogenic bladder (e.g.myelomeningocoele) and bladder extrophy.…”