Pregnancy and Delivery in Women with Lower Urinary Tract Reconstruction: A National Multicenter Retrospective Study from the French-Speaking Neuro-Urology Study Group (GENULF) and the Neuro-Urology Committee of the French Association of Urology

Bey, E.; Manach, Q.; Peyronnet, B.; Even, A.; Kastler, E. Chartier; Walder, R.; Ruffion, A.; Baron, M.; Charlanes, A.; Biardeau, Xavier; Quenneville, Vincent; Boillot, B.; Duport, C Daumas; Tricard, Thibaut; Saussine, C.; Gamé, X.; Capon, G.; Kerdraon, J.; Cornu, Jean Nicolas; Garabédian, Charles; Normand, L. Le; Perrouin-Verbe, B.; Phé, Véronique; Perrouin-Verbe, M.-A.

doi:10.1097/ju.0000000000001233

Cited by 6 publications

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“…We therefore cannot draw any conclusions regarding this aspect. However, in a recent multicenter series, Bey et al 22 found that C‐section was often more harmful for the device than vaginal delivery. Indeed, out of six female spina bifida patients with an AUS who gave birth, two had their AUS injured during their C‐section.…”

Section: Discussionmentioning

confidence: 98%

Long‐term outcomes of artificial urinary sphincter in female patients with spina bifida

Gasmi

Perrouin‐Verbe

Hascoët

et al. 2020

Neurourology and Urodynamics

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Aims: To report the long-term functional outcomes of artificial urinary sphincter (AUS) implantation in female patients with spinal dysraphism and stress urinary incontinence (SUI) related to intrinsic sphincter deficiency (ISD). Methods: The charts of all spina bifida female patients with SUI due to ISD who underwent AUS (AMS 800) implantation between 2005 and 2019 at three academic departments of urology were retrospectively reviewed. Reoperation was defined as either revision or explantation of the AUS device. Reoperationfree survival of the AUS device was estimated using the Kaplan-Meier method. Continence status as per patients' subjective assessment was categorized as follows: complete continence (no pads), improved continence, unchanged SUI or worsened SUI. Results: Twenty-three patients were included, 69.6% were self-catheterizing. The median follow-up was 14 years. Median time to first reoperation was 10 years. Survival rates without reoperation were 85.9%, 41.8%, 34.6%, and 20.9% at 5, 10, 15, 20 years, respectively. Survival rates without AUS explantation were 90.7%, 66.3%, 55.2%, and 41.4% at 5, 10, 15, 20 years, respectively. None of the patients who underwent device explantation had a new AUS implanted. The only predictive factor of reoperation-free survival was the type of spinal dysraphism (hazards ratio = 3.60 for closed vs. open dysraphism; p = .04). At last follow-up, 17 of the 23 patients were fully continent (73.9%). Conclusion: AUS in female patients with spina bifida may be associated with satisfactory long-term functional outcomes and a high reoperation rate. The median time to first reoperation was similar to what is reported in the male AUS literature (10 years).

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Section: Discussionmentioning

confidence: 98%

Long‐term outcomes of artificial urinary sphincter in female patients with spina bifida

Gasmi

Perrouin‐Verbe

Hascoët

et al. 2020

Neurourology and Urodynamics

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“…Emergency upper urinary tract diversion during pregnancy is required in 10%–40% of these women. [ 2 ] According to the literature, febrile UTIs is observed in about 30% of pregnancies. [ 3 ] There is controversy in literature regarding prophylactic treatment of asymptomatic bacteriuria in women performing intermittent self-catheterization to prevent symptomatic or febrile UTI and low birth weight.…”

Section: Discussionmentioning

confidence: 99%

“…Literature show 10%–30% of women experienced self-catheterization difficulties during pregnancy with more common in the right iliac fossa than umbilical position. [ 2 ]…”

Section: Discussionmentioning

confidence: 99%

“…Vaginal delivery can be proposed as first-line option in women with CCUD, in the absence of any major genital malformation, obstetric, anesthetic, or neurologic contraindication. [ 2 ] C-section, even when it is elective should be accompanied by a full surgical team, including an urologist. During the c-section we should always keep in mind that the enterocystoplasty and channel of CCUD vascularization are usually in the right side of incision and for that the incision for the cesarean should use the same lower umbilical midline incision and then we go to the left side of the enterocystoplasty to avoid the vascularity damage [ Figure 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Pregnancy in a patient with urinary diversion is rated as high risk and requires multidisciplinary medical care of gynecologists, obstetricians, and urologists in a center of expertise. [ 1 2 ] The main complications of pregnancy are urinary tract infection (UTI), pyelonephritis, dilatation of the upper urinary tract, urogenital prolapse preeclampsia, and risk factor for early abortion. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Can childbearing spinal cord injury women with continent cutaneous urinary diversion have child?

et al. 2022

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Over the last half century, significant improvements in health outcomes for individuals with spinal cord injury (SCI) and growing recognition those women with SCI can become pregnant. However, pregnancy must be rated as high risk and requires multidisciplinary medical care as higher rate of complication compare to general population. Most of published literature grouped all patients with lower urinary tract reconstruction (LUTR) like exstrophy–epispadias complex, spina bifida, interstitial cystitis urogenital sinus or fistula, but our article is focusing in the childbearing SCI women who undergone cutaneous continent urinary diversion (CCUD) with mitrofanoff procedure. We report two cases of three successful pregnancies in this population.

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Fertility and sexuality issues in congenital lifelong urology patients: female aspects

et al. 2020

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Pregnancy and Delivery in Women with Lower Urinary Tract Reconstruction: A National Multicenter Retrospective Study from the French-Speaking Neuro-Urology Study Group (GENULF) and the Neuro-Urology Committee of the French Association of Urology

Cited by 6 publications

References 0 publications

Long‐term outcomes of artificial urinary sphincter in female patients with spina bifida

Long‐term outcomes of artificial urinary sphincter in female patients with spina bifida

Can childbearing spinal cord injury women with continent cutaneous urinary diversion have child?

Fertility and sexuality issues in congenital lifelong urology patients: female aspects

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