Pregnancy following urinary tract reconstruction using bowel segments: a review of published literature

AbstractUrologists routinely use bowel in the reconstruction of the urinary tract. With an increasing prevalence of urinary diversions, it is important for surgeons to have a basic understanding of varied use and configuration of bowel segments in urinary tract reconstruction that may be encountered during abdominal surgery. The aim of this review article is to provide an overview of the various reconstructive urological surgeries requiring bowel and to guide physicians on how to manage these patients with urinary diversions.

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Urinary tract reconstruction using bowel segments

Current Opinion in Urology ◽

10.1097/00042307-199306000-00004 ◽

1993 ◽

Vol 3 (3) ◽

pp. 175-181

Author(s):

Anthony R. Stone

Keyword(s):

Urinary Tract ◽

Urinary Tract Reconstruction ◽

Bowel Segments

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Bladder Replacement and Urinary Diversion after Radical Cystectomy

Cancer Control ◽

10.1177/107327489600300604 ◽

1996 ◽

Vol 3 (6) ◽

pp. 512-518 ◽

Cited By ~ 1

Author(s):

Julio M. Pow-Sang ◽

Evangelos Spyropoulos ◽

Mohammed Helal ◽

Jorge Lockhart

Keyword(s):

Urinary Tract ◽

Urinary Diversion ◽

Stone Formation ◽

Surgical Techniques ◽

Surgical Approaches ◽

Continent Urinary Diversion ◽

Operative Care ◽

Bladder Replacement ◽

Urinary Tract Reconstruction ◽

Bowel Segments

Background The optimal mode of urinary tract reconstruction following cystectomy continues to challenge the urologic surgeon. Disadvantages with bowel conduits have prompted the search for better techniques to improve patient outcomes. Methods The development of urinary tract reconstruction is reviewed, and results from several forms of continent urinary diversion and bladder replacement construction are presented. The authors report on their experience in creating continent reservoirs or neobladders in over 400 patients. Results Several surgical approaches are now available for continent urinary diversion. Metabolic and nutritional abnormalities, stone formation, infection, and cancer formation are potential complications. Conclusions Advances in surgical techniques, an understanding of the physiology of isolated bowel segments, and improvements in pre- and post-operative care have altered the field of urinary reconstruction after cystectomy for bladder cancer. Most patients can expect minimal morbidity and mortality.

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90: A Systematic Review of Urinary Tract Infections Following Transposition of Bowel Segments into Urinary Tract

The Journal of Urology ◽

10.1016/s0022-5347(18)37352-x ◽

2004 ◽

Vol 171 (4S) ◽

pp. 24-24 ◽

Cited By ~ 1

Author(s):

Nabi Ghulam ◽

Sze M. Yong ◽

Eng Ong ◽

Adrian Grant ◽

Gladys C. McPherson ◽

...

Keyword(s):

Systematic Review ◽

Urinary Tract ◽

Urinary Tract Infections ◽

Tract Infections ◽

Bowel Segments

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Faculty Opinions recommendation of Complications after use of gastric segments for lower urinary tract reconstruction.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717962961.793514379 ◽

2016 ◽

Author(s):

Armando Lorenzo

Keyword(s):

Urinary Tract ◽

Lower Urinary Tract ◽

Urinary Tract Reconstruction ◽

Lower Urinary

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Bladder squamous cell carcinoma in a pregnant woman: case report and review of the literature

BMC Urology ◽

10.1186/s12894-020-00772-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Pablo A. Rojas ◽

Cristián González ◽

Gonzalo P. Mendez ◽

Alejandro Majerson ◽

Ignacio F. San Francisco

Keyword(s):

Squamous Cell Carcinoma ◽

Bladder Cancer ◽

Pregnant Woman ◽

Urinary Tract ◽

Cell Carcinoma ◽

Radical Cystectomy ◽

Squamous Cell ◽

Pet Ct ◽

Cell Bladder Cancer ◽

Urinary Tract Reconstruction

Abstract Background Bladder tumors in pregnancy are extremely rare. No more than 50 cases have been published to date, including all histologic variants, and only three cases of bladder squamous cell carcinoma have been described. Case presentation We present a clinical case of a 31-year-old woman with bladder squamous cell carcinoma in the second trimester of pregnancy. After a C-section at 30 weeks, we performed radical cystectomy with extended bilateral lymphadenectomy, hysterectomy and right oophorectomy. The Studer neobladder technique was performed for urinary tract reconstruction. Definitive pathology showed invasive bladder squamous cell carcinoma, Grade 2, with microscopic infiltration of the perivesical fat, negative margins, and 3/28 lymph nodes with carcinoma (pT3aN2M0). The patient underwent 18 months of surveillance after radical cystectomy, without recurrence by PET-CT. Conclusions Bladder cancer in pregnant women is extremely rare but must be considered in those with recurrent gross hematuria and/or recurrent urinary tract infection. To our knowledge, this case involves the longest recurrence-free survival of a pregnant woman with squamous cell bladder cancer published thus far.

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