Managing pregnancy in women with urinary diversion.

The number of individuals undergoing urinary tract reconstruction, particularly for congenital abnormalities, has increased significantly over the years. Many types of urinary tract reconstruction are carried out on children and young women who have the potential to have reproductive capability (Hensle et al, 2004). Surgical procedures included in this group include enterocystoplasties, neobladder, Mitrofanoff pouch, ileal conduit and Sigma Mainz II (rectal bladder). The common factor in each of these procedures is the use of bowel to create a reservoir for urine. This article describes the different types of urinary diversion in relation to pregnancy, and presents a case study to illustrate the recommendations made.