Spontaneous Pregnancy after Cystectomy and Urinary Diversion by Indiana Pouch Method for Congenital Bladder Exstrophy: A Case Report
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 36
Abstract
Aims: To share our experience in the management of a patient of congenital bladder exstrophy, who conceived spontaneously following Indiana pouch surgery for urinary diversion. Presentation of Case: 21 year old primigravida, who had undergone urinary diversion surgery for congenital bladder exstrophy, reported for antenatal care. In the first year of her life, an ineffective operation was performed for closure of her abdominal wall defect. At 10 years of age she underwent cystectomy, trygonocuteneostomy, diastasis of pubic bones were fixed and urinary diversion operation was performed by Indiana pouch method. She was followed up at the antenatal clinic of Dicle University until 38th week of pregnancy. Thereafter, an elective caesarean section was performed and a live healthy female baby was delivered. Discussion and Conclusion: Bladder exstrophy is an extremely rare congenital abnormality. Woman with bladder exstrophy and lower urinary tract reconstruction surgery may conceive spontaneously. However they have a high risk pregnancy and an elective caesarian section is advocated for delivery. Review of literature and our experience is presented.
Authors and Affiliations
Ali Irfan Güzel, Aytekin Tokmak, Aydan Sezer Kara, Ahmet Yalinkaya
Keywords
Related Articles
- EP ID EP348606
- DOI 10.9734/BJMMR/2014/12585
- Views 39
- Downloads 0
Comparative Analysis of Maternal and Perinatal Outcomes of Trial of Vaginal Birth and Planned Repeat Caesarean Section Following a Prior Caesarean
Background: Delivery following a previous caesarean section is associated with the fear of increased maternal and perinatal morbidity and mortality. The optimal mode of such delivery remains critical with increasing rate...
Tissue Penetration of Bipolar Electrosurgery at Different Power Settings
Introduction: Bipolar electro-surgery is used in all disciplines of surgery to aid in haemostasis. Although common sense dictates tissue penetration will be effected by power settings, no formal evaluation of this effect...
High-throughput Sequencing and Profiling of Antibody Repertoire and the Promises for Diagnostic and Therapeutic Applications
High-throughput DNA sequencing technologies are advancing at rapid state and transforming our indulgent about humoral immune modulation. The antibody repertoire encoded by B cells in the blood or lymphoid organs and the...
Plasma Thrombopoietin Level in Thrombocytopenic Patients with or without Liver Cirrhosis Chronically Infected by the Hepatitis C Virus
Background and Aim: Thrombocytopenia is a frequent problem in patients with post- hepatitis C (HCV) liver cirrhosis and also occurs in chronic HCV-infected patients without liver cirrhosis. The aim of this study was to e...
Low Vitamin D Status of Northern Italian Children in Pediatric Primary Care Setting: What to Do?
Aims: To analyze vitamin D status in a group of children living in Northeastern Italy cared by a “family pediatrician”. Study Design: Cross-sectional study. Place and Duration of Study: Pediatric primary care in a rural...