Pregnancy after lower urinary tract reconstruction in women.

PURPOSE: We determined if pregnant women with reconstructed lower urinary tracts experience complications related to the urological reconstruction.

MATERIALS AND METHODS: A total of 27 women (34 pregnancies) with reconstructed lower urinary tracts underwent regular urinalysis, blood biochemistry studies and ultrasound examinations during pregnancy and for a minimum of 1 year after delivery.

RESULTS: There were 28 normal, full-term vaginal deliveries without complication. A total of 6 patients underwent cesarean section, with injury to the vascular pedicle of the cystoplasty without sequelae occurring in 1. Temporary postpartum incontinence occurred in 6 patients.

CONCLUSIONS: Patients with reconstructed lower urinary tracts can experience normal deliveries but require close surveillance. The route of delivery should be determined by obstetrical indications.