Ebert, Anne K. and Falkert, Andreas and Hofstaedter, Andrea and Reutter, Heiko and Roesch, Wolfgang H. (2011) Pregnancy management in women within the bladder-exstrophy-epispadias complex (BEEC) after continent urinary diversion. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 284 (4). pp. 1043-1046. ISSN 0932-0067,
Full text not available from this repository. (Request a copy)Abstract
Background Management of operative delivery in pregnant women after reconstruction of the bladder-exstrophy-epispadias complex (BEEC) using bowel segments remains a challenge. Patients and Methods We report urological history, pregnancy and delivery course of two BEEC patients after previous abdominal bowel surgeries. One had an ileocecal pouch after previously failed reconstruction, and the other had an ileum augmentation and a catheterizable Mitrofanoff stoma after functional reconstruction of the exstrophic bladder. Results Frequent bacteriuria and hydronephrosis warranted low-dose prophylaxis throughout pregnancy in one female, bilateral mild upper tract dilatation sonographic monitoring in both patients. Both were successfully delivered by cesarean section. No complications or clinical and sonographic signs for prolapse occurred. However, our operative experience revealed the importance of the abdominal incision type after different reconstructed reservoirs. Conclusion Though care should be intense in pregnant BEEC individuals, patients should not be discouraged to have own children. To facilitate successful pregnancy outcome operative delivery should be done as a interdisciplinary team work and emergency situations should be avoided by meticulous planning and counseling of the BEEC patients.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TRACT RECONSTRUCTION; Pregnancy; Urinary diversion; Bladder augmentation; Successful management; Bladder-exstrophy-epispadias complex (BEEC) |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Geburtshilfe) Medicine > Lehrstuhl für Kinder- und Jugendmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 May 2020 08:20 |
| Last Modified: | 29 May 2020 08:20 |
| URI: | https://pred.uni-regensburg.de/id/eprint/20135 |
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