Ruan J, Zhang L, Duan MF, Luo DY. Pregnancy and delivery after augmentation cystoplasty: A case report and review of literature. World J Clin Cases 2022; 10(13): 4177-4184 [PMID: 35665103 DOI: 10.12998/wjcc.v10.i13.4177]
Corresponding Author of This Article
Li Zhang, MD, Professor, 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, No. 2 Renmin South Road, Chengdu 610041, Sichuan Province, China. hxzhang_li@163.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 6, 2022; 10(13): 4177-4184 Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4177
Pregnancy and delivery after augmentation cystoplasty: A case report and review of literature
Jie Ruan, Li Zhang, Mei-Fan Duan, De-Yi Luo
Jie Ruan, Li Zhang, Mei-Fan Duan, 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
De-Yi Luo, Department of Urology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Ruan J contributed to the data acquisition and analysis, preparation and writing of the manuscript; Duan MF contributed to the collection of history and patient follow-up; Luo DY study coordination, drafting and revision of the manuscript.
Informed consent statement: The patient provided written informed consent to participate in this study. Written informed consent was obtained for the publication of any potentially identifiable images or data included in this article.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li Zhang, MD, Professor, 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, No. 2 Renmin South Road, Chengdu 610041, Sichuan Province, China. hxzhang_li@163.com
Received: September 10, 2021 Peer-review started: September 10, 2021 First decision: October 22, 2021 Revised: November 2, 2021 Accepted: March 16, 2022 Article in press: March 16, 2022 Published online: May 6, 2022
Abstract
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.
Core Tip: Pregnancy following augmentation cystoplasty is relatively rare. Here, we report on a 30-year-old woman who underwent augmentation cystoplasty. We followed the patient from gestational week 32+3 until 6 wk after delivery. Our case, together with a relatively small amount of literature, suggests that women who undergo augmentation cystoplasty can have a healthy reproductive life.
