Pregnancy and delivery after augmentation cystoplasty:A case report and review of literature  

作　　者：Jie Ruan Li Zhang Mei-Fan Duan De-Yi Luo 

机构地区：[1]Department of Obstetrics and Gynecology,Key Laboratory of Birth Defects and Related Diseases in Women and Children of Ministry of Education,West China Second Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China [2]Department of Urology,West China Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China

出　　处：《World Journal of Clinical Cases》2022年第13期4177-4184,共8页世界临床病例杂志

摘　　要：BACKGROUND Augmentation cystoplasty,first described by Mikulicz in 1899 involves segments of bowel,stomach or mega-ureter to increase bladder capacity in those with inadequate bladder function or lack of detrusor compliance.The most widely used bowel segment is a detubularised patch of ileum.When ileum is not suitable for augmentation,sigmoid colon is the alternative.However,only eight pregnancies after sigmoidocystoplasty have been reported without detail and clinicians may be uncertain about the effects of sigmoidocystoplasty on reproductive health and pregnancy.CASE SUMMARY We followed the patient from gestational week 32+3 until 6 wk after delivery.During pregnancy,our patient suffered urinary tract infection twice and had to undergo percutaneous nephrostomy drainage due to progressive hydronephrosis.Despite a dense adhesion between the uterus and neobladder,we were able to deliver a healthy baby by cesarian section in the presence of the attending urologist.CONCLUSION Augmentation cystoplasty-afflicted women can have a healthy reproductive life.Certain perioperative measures may be advisable to avoid serious surgical complications.

关 键 词：Augmentation cystoplasty Sigmoidocolocystoplasty Delivery mode Urinary tract infection HYDRONEPHROSIS NEPHROSTOMY Case report 

分 类 号：R699.5[医药卫生—泌尿科学]