Since 1974, 71 female patients between 3 and 25 years old have undergone implantation of the artificial urinary sphincter for treatment of urinary incontinence. Of these women 9 have become pregnant and delivered 11 normal children. In 2 women the artificial urinary sphincter was removed because of erosion before conceiving, while the remaining 7 had a functional artificial urinary sphincter in place at conception, and subsequent pregnancy and delivery. All 11 women had normal pregnancies and, aside from the normally increased frequency of urination and a slight increase in urinary leakage due to elevated pressure on the bladder from the adjacent uterus, the urinary continence was unchanged. Of the women 4 underwent cesarean section at the advice of their obstetricians and the remainder had uneventful vaginal deliveries. During the course of the pregnancies the patients or their obstetricians consulted 1 of us for advice regarding management of the delivery because of the presence of the artificial urinary sphincter. The normalcy of the pregnancies and deliveries led us to conclude that the presence of a functioning artificial urinary sphincter did not increase the risk of complications during pregnancy and childbearing.
© 1993 by The American Urological Association Education and Research, Inc.
- Cited byBey E, Perrouin-Verbe B, Reiss B, Lefort M, Le Normand L and Perrouin-Verbe M (2021) Outcomes of pregnancy and delivery in women with continent lower urinary tract reconstruction: systematic review of the literatureInternational Urogynecology Journal, 10.1007/s00192-021-04856-1, VOL. 32, NO. 7, (1707-1717), Online publication date: 1-Jul-2021.Bey E, Manach Q, Peyronnet B, Even A, Chartier Kastler E, Walder R, Ruffion A, Baron M, Charlanes A, Biardeau X, Quenneville V, Boillot B, Duport C, Tricard T, Saussine C, Gamé X, Capon G, Kerdraon J, Cornu J, Garabedian C, Le Normand L, Perrouin-Verbe B, Phe V and Perrouin-Verbe M (2020) Pregnancy and Delivery in Women with Lower Urinary Tract Reconstruction: A National Multicenter Retrospective Study from the French-Speaking Neuro-Urology Study Group (GENULF) and the Neuro-Urology Committee of the French Association of UrologyJournal of Urology, VOL. 204, NO. 6, (1263-1269), Online publication date: 1-Dec-2020.Thomas J, Squiers A and Kaufman M (2015) Sexual Function and Pregnancy in the Female Myelodysplasia Patient Transition and Lifelong Care in Congenital Urology, 10.1007/978-3-319-14042-1_5, (45-54), .Adams M and Joseph D (2012) Urinary Tract Reconstruction in Children Campbell-Walsh Urology, 10.1016/B978-1-4160-6911-9.00129-8, (3457-3502.e12), .Butruille C, Faucon H, Marcelli F and Biserte J (2011) Esfínter artificial de continencia en el varón y la mujerEMC - Urología, 10.1016/S1761-3310(11)71115-X, VOL. 43, NO. 3, (1-15), .Thomas J and Adams M (2009) Female Sexual Function and Pregnancy After Genitourinary ReconstructionJournal of Urology, VOL. 182, NO. 6, (2578-2584), Online publication date: 1-Dec-2009.Goh M and Diokno A (2009) Surgery for Stress Urinary Incontinence: Open Approaches Continence, 10.1007/978-1-84628-510-3_11, (133-147), .Scotti R, Young J and Ho M (2008) Urologic Complications Operative Obstetrics, 10.1017/CBO9780511580987.021, (608-637)Mohammed A, Khan A, Shaikh T, Shergill I and Junaid I (2014) The artificial urinary sphincterExpert Review of Medical Devices, 10.1586/17434440.4.4.567, VOL. 4, NO. 4, (567-575), Online publication date: 1-Jul-2007.Petero V and Diokno A (2018) Comparison of the Long-Term Outcomes Between Incontinent Men and Women Treated With Artificial Urinary SphincterJournal of Urology, VOL. 175, NO. 2, (605-609), Online publication date: 1-Feb-2006.Rea D, Lavelle J and Carson C (2006) Artificial Urethral Sphincters The Bionic Human, 10.1007/978-1-59259-975-2_21, (313-321), .Gurusamy K, Marzouk D and Benziger H (2005) A review of contemporary surgical alternatives to permanent colostomyInternational Journal of Surgery, 10.1016/j.ijsu.2005.07.004, VOL. 3, NO. 3, (193-205), .Oyama I, Steinberg A and Feloney M (2004) Advanced Procedures for Urinary IncontinenceJournal of Pelvic Medicine and Surgery, 10.1097/01.spv.0000153647.36214.3c, VOL. 10, NO. 6, (289-304), Online publication date: 1-Nov-2004.TOH K and DIOKNO A (2002) Management of Intrinsic Sphincter Deficiency in Adolescent Females with Normal Bladder Emptying FunctionThe Journal of Urology, 10.1097/00005392-200209000-00077, (1150-1153), Online publication date: 1-Sep-2002.Toh K and Diokno A (2018) Management of Intrinsic Sphincter Deficiency in Adolescent Females with Normal Bladder Emptying FunctionJournal of Urology, VOL. 168, NO. 3, (1150-1153), Online publication date: 1-Sep-2002.Fishman I and Scott F (2002) Female Incontinence and the Artificial Urinary Sphincter Urologic Prostheses, 10.1007/978-1-59259-096-4_18, (285-300), .Petrou S, Elliott D and Barrett D (2000) Artificial urethral sphincter for incontinenceUrology, 10.1016/S0090-4295(00)00683-X, VOL. 56, NO. 3, (353-359), Online publication date: 1-Sep-2000.Hajivassiliou C (2009) The development and evolution of artificial urethral sphinctersJournal of Medical Engineering & Technology, 10.3109/03091909809032533, VOL. 22, NO. 4, (154-159), Online publication date: 1-Jan-1998.
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© 1993 by The American Urological Association Education and Research, Inc.
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