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Verfasst von:Younsi, Nina [VerfasserIn]   i
 Honeck, Patrick [VerfasserIn]   i
 Neisius, Andreas [VerfasserIn]   i
 Thüroff, Joachim W. [VerfasserIn]   i
 Stein, Raimund [VerfasserIn]   i
Titel:Pregnancy after urinary diversion at young ages
Titelzusatz:risks and outcome
Verf.angabe:Nina Huck, Stefanie Schweizerhof, Patrick Honeck, Andreas Neisius, Joachim W. Thüroff, and Raimund Stein
E-Jahr:2017
Jahr:14 February 2017
Umfang:5 S.
Fussnoten:Gesehen am 13.09.2018
Titel Quelle:Enthalten in: Urology
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1973
Jahr Quelle:2017
Band/Heft Quelle:104(2017), Seite 220-224
ISSN Quelle:1527-9995
Abstract:Objective: To assess the urologic and obstetric outcomes during and after pregnancy following urinary diversion (UD) performed during childhood or adolescence. Materials and Methods: From our UD database, we identified 25 women who became pregnant between 1981 and 2013. Reasons for UD were neurogenic bladder, exstrophy, trauma, sinus urogenitalis, and interstitial cystitis. Seventeen had continent cutaneous diversion, 4 had continent anal diversion, and 4 had colonic conduit. Results: The average age at delivery was 27.8 (18-39) years. Thirty-seven pregnancies occurred; 1 patient decided for an induced abortion. Thirty-two healthy children were born. Five patients had a spontaneous abortion before the 12th week. Main urologic complications were urinary tract infections in 11 of 32 successful pregnancies. Twelve patients presented with dilatation of the upper urinary tract; 3 of them required a temporary nephrostomy tube. Four of 25 patients required an indwelling catheter because of difficulties of clean intermittent catheterization. One small bowel injury occurred during cesarean section. One patient with exstrophy developed uterine prolapse; 1 nipple prolapse was surgically repaired in the same anesthesia after the cesarean section. Two patients had 3 vaginal deliveries, whereas 28 had a cesarean section. All children were healthy, without malformation, and with mean Apgar scores of 7.8, 8.9, and 9.7 for the 1st, 5th, and 10th minutes of life, respectively. No persistent urologic complications were observed. Conclusion: After UD, pregnancy is possible without major complications. Because of an increased risk of pyelonephritis and dilatation of the upper urinary tract requiring intervention, these pregnancies should be considered high-risk pregnancies. Delivery should be carried out in a center of expertise with urologic standby.
DOI:doi:10.1016/j.urology.2017.01.033
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1016/j.urology.2017.01.033
 Volltext: http://www.sciencedirect.com/science/article/pii/S009042951730136X
 DOI: https://doi.org/10.1016/j.urology.2017.01.033
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1580959539
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