caa a22 4500 445310456 CHVBK 20180317142627.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00404-011-1945-3 doi (NATIONALLICENCE)springer-10.1007/s00404-011-1945-3 Pregnancy management in women within the bladder-exstrophy-epispadias complex (BEEC) after continent urinary diversion [Elektronische Daten] [Anne Ebert, Andreas Falkert, Andrea Hofstädter, Heiko Reutter, Wolfgang Rösch] Background: Management of operative delivery in pregnant women after reconstruction of the bladder-exstrophy-epispadias complex (BEEC) using bowel segments remains a challenge. Patients and Methods: We report urological history, pregnancy and delivery course of two BEEC patients after previous abdominal bowel surgeries. One had an ileocecal pouch after previously failed reconstruction, and the other had an ileum augmentation and a catheterizable Mitrofanoff stoma after functional reconstruction of the exstrophic bladder. Results: Frequent bacteriuria and hydronephrosis warranted low-dose prophylaxis throughout pregnancy in one female, bilateral mild upper tract dilatation sonographic monitoring in both patients. Both were successfully delivered by cesarean section. No complications or clinical and sonographic signs for prolapse occurred. However, our operative experience revealed the importance of the abdominal incision type after different reconstructed reservoirs. Conclusion: Though care should be intense in pregnant BEEC individuals, patients should not be discouraged to have own children. To facilitate successful pregnancy outcome operative delivery should be done as a interdisciplinary team work and emergency situations should be avoided by meticulous planning and counseling of the BEEC patients. Springer-Verlag, 2011 Pregnancy nationallicence Urinary diversion nationallicence Bladder augmentation nationallicence Successful management nationallicence Bladder-exstrophy-epispadias complex (BEEC) nationallicence Ebert Anne Department of Pediatric Urology, University Medical Center Regensburg, Klinik St. Hedwig, Steinmetzstr. 1-3, 93049, Regensburg, Germany aut Falkert Andreas Department of Gynecology and Obstetrics, University Medical Center Regensburg, Regensburg, Germany aut Hofstädter Andrea Department of Gynecology and Obstetrics, University Medical Center Regensburg, Regensburg, Germany aut Reutter Heiko Department of Human Genetics, Childrens' Hospital, University of Bonn, Bonn, Germany aut Rösch Wolfgang Department of Pediatric Urology, University Medical Center Regensburg, Klinik St. Hedwig, Steinmetzstr. 1-3, 93049, Regensburg, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 284/4(2011-10-01), 1043-1046 0932-0067 284:4<1043 2011 284 404 https://doi.org/10.1007/s00404-011-1945-3 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-1945-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ebert Anne Department of Pediatric Urology, University Medical Center Regensburg, Klinik St. Hedwig, Steinmetzstr. 1-3, 93049, Regensburg, Germany aut NATIONALLICENCE 700 1- Falkert Andreas Department of Gynecology and Obstetrics, University Medical Center Regensburg, Regensburg, Germany aut NATIONALLICENCE 700 1- Hofstädter Andrea Department of Gynecology and Obstetrics, University Medical Center Regensburg, Regensburg, Germany aut NATIONALLICENCE 700 1- Reutter Heiko Department of Human Genetics, Childrens' Hospital, University of Bonn, Bonn, Germany aut NATIONALLICENCE 700 1- Rösch Wolfgang Department of Pediatric Urology, University Medical Center Regensburg, Klinik St. Hedwig, Steinmetzstr. 1-3, 93049, Regensburg, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/4(2011-10-01), 1043-1046 0932-0067 284:4<1043 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer