Title :

Pregnancy and Delivery in Women with Lower Urinary Tract Reconstruction: A National Multicenter Retrospective Study.

Author(s) :

Bey, E. [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Manach, Q. [Auteur]
CHU Pitié-Salpêtrière [AP-HP]
Peyronnet, B. [Auteur]
Service d'urologie [Rennes] = Urology [Rennes]
Even, A. [Auteur]
Hôpital Raymond Poincaré [AP-HP]
Chartier Kastler, E. [Auteur]
CHU Pitié-Salpêtrière [AP-HP]
Walder, R. [Auteur]
Service de Gynécologie et Obstétrique [Hôpital de la Croix-Rousse - HCL]
Ruffion, A. [Auteur]
Service d'urologie [Centre Hospitalier Lyon Sud - HCL]
Baron, M. [Auteur]
Service d'urologie [Rouen]
Charlanes, A. [Auteur]
CHU Tenon [AP-HP]
Biardeau, Xavier [Auteur]
Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Quenneville, V. [Auteur]
Boillot, B. [Auteur]
Service d'urologie [CHU Grenoble]
Duport, C. [Auteur]
Service d'Urologie [CHU de Dijon]
Tricard, T. [Auteur]
Département d'Urologie-Andrologie et Transplantation Rénale [CHU Toulouse]
Saussine, C. [Auteur]
Département d'Urologie-Andrologie et Transplantation Rénale [CHU Toulouse]
Gamé, X. [Auteur]
Département d'Urologie-Andrologie et Transplantation Rénale [CHU Toulouse]
Capon, G. [Auteur]
service d'urologie [CHU Bordeaux]
Kerdraon, J. [Auteur]
Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de KERPAPE [Ploemeur] [CMRRF]
Cornu, J. N. [Auteur]
Service d'urologie [Rouen]
Garabedian, Charles [Auteur]
Environnement périnatal et croissance - EA 4489 [EPS]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Le Normand, L. [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Perrouin-Verbe, B. [Auteur]
Service de Médecine Physique et Réadaptation
Phe, V. [Auteur]
Université Pierre et Marie Curie - Paris 6 [UPMC]
Perrouin-Verbe, M. A. [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]

Journal title :

Journal of Urology

Abbreviated title :

J. Urol.

Pages :

101097JU0000000000001233

Publication date :

2020-07-04

ISSN :

1527-3792

English keyword(s) :

urinary sphincter
artificial
urinary diversion
delivery
obstetric

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Purpose: Management of pregnancy and delivery in women with lower urinary tract reconstruction is challenging and the currently available literature is insufficient to guide clinical practice. We report pregnancy and ...
Show more >Purpose: Management of pregnancy and delivery in women with lower urinary tract reconstruction is challenging and the currently available literature is insufficient to guide clinical practice. We report pregnancy and delivery outcomes in this specific population. Materials and Methods: We conducted a national multicenter retrospective study (16 centers) including 68 women with 96 deliveries between 1998 and 2019. These women had at least 1 successful pregnancy and delivery after augmentation enterocystoplasty, catheterizable channel creation and/or artificial urinary sphincter implantation. Maternal and fetal complications during pregnancy and delivery were reported, as well as postpartum functional outcomes, according to the delivery mode. The chi-square test and Student’s t-test were used to compare categorical and continuous variables, respectively. Results: Overall 32% of reported pregnancies were complicated by febrile urinary tract infections, 13.5% by renal colic and 14.6% required upper urinary tract diversion. In addition, 10% of patients reported transient self-catheterization difficulties and 13.5% reported de novo or increased urinary incontinence. The preterm delivery rate was 35.3%. Elective C-section was performed in 61% of pregnancies. Twenty complications occurred during delivery (20%), including 19 during elective C-section. Urinary continence at 1 year was unchanged for 93.5% of deliveries. Delivery mode (p=0.293) and multiparity (p=0.572) had no impact on urinary continence. Conclusions: In this population C-section appeared to be associated with a high risk of complications. In the absence of any obstetric or neurological contraindications, vaginal delivery should be proposed as the first line option to the majority of these women.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T08:35:35Z
2023-12-12T13:45:25Z