[Pregnancy and delivery in patients with surgically corrected congenital extrophy of the bladder, through the operations of the continent urinary derivation].

Authors present two cases of pregnancy and delivery of patients with bladder extrophy. Both had undergone various and different reconstructive surgical operations in childhood, which gave them the opportunity to lead a normal life, to become pregnant and deliver. A total of three deliveries are observed--one with Caesarian, one--normal vaginal delivery and one--normal delivery with breech presentation. Bladder extrophy is a rare and severe innate anomaly of the genital-urinary tract, associated with genital, urologic and orthopedic malformations. The main complications during pregnancy are infections and calculosis of the urinary tract, prematurity, malpresentations, genital prolapse. Premeditated Caesarian section is the method of delivery in almost every case with bladder extrophy, while normal vaginal delivery remains casuistic.