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Management of Urological Problems During Pregnancy: A Rationale and Strategy

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Essential Urology

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

This chapter reviews the physiological changes that occur during pregnancy and their impact on the urinary tract. Specific issues that are addressed include hydronephrosis and renal rupture during pregnancy, renal calculi, urologic cancers, urinary incontinence, and antibiotic use during pregnancy.

In addition, the management of less common conditions such as placenta percreta, pregnancy after urinary diversion, and pregnancy after renal transplantation is outlined.

Finally recommendations are made concerning urological management problems that can occur during delivery.

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References

  1. Lee MM, Taylor SH, Scott DB, et al. A study of cardiac output at rest during pregnancy. J Obstet Gynaecol Br Commonwealth. 1967;74:319–28.

    Google Scholar 

  2. Lund CJ, Donovan JC. Blood volume during pregnancy. Am J Obstet Gynecol. 1967;98:393–408.

    Google Scholar 

  3. Steinberg ES, Santos AC. Surgical anesthesia during pregnancy. Int Anesthesiol Clin. 1990;28:58–66.

    PubMed  CAS  Google Scholar 

  4. Dean M, Stock B, Patterson RJ. Serum protein binding of drugs during and after pregnancy in humans. Clin Pharmacol Ther. 1980;28:257–61.

    Google Scholar 

  5. Santos AC, Pederson H, Harmon TW, et al. Does pregnancy alter the systemic toxicity of local anesthetics? Anesthesiology. 1989;70:991–5.

    PubMed  CAS  Google Scholar 

  6. Veland K, Parer JT. Effects of estrogens on the cardiovascular system of the ewe. Am J Obstet Gynecol. 1966;96:400–6.

    Google Scholar 

  7. Goodman RP, Killam AP, Brash AR, Branch RA. Prostacyclin production during pregnancy: comparison of production during normal pregnancy and pregnancy complicated by hypertension. Am J Obstet Gynecol. 1982;142:817–22.

    PubMed  CAS  Google Scholar 

  8. Prowse CM, Gaensler EA. Respiratory and acid–base changes during pregnancy. Anesthesiology. 1965;26:381–92.

    PubMed  CAS  Google Scholar 

  9. Archer GW, Marx GF. Arterial oxygenation during apnea in parturient women. Br J Anaesth. 1974;46:358–60.

    PubMed  Google Scholar 

  10. Barron WM. Medical evaluation of the pregnant patient requiring nonobstetric surgery. Clin Perinatol. 1985;12(3):481–96.

    PubMed  CAS  Google Scholar 

  11. Hathaway WE, Bonnar J. Perinatal coagulation. New York: Grune and Stratton; 1978. p. 27–51.

    Google Scholar 

  12. Letsky E. The hematological system. In: Hytten F, Chamberlain G, editors. Clinical physiology in obstetrics. Oxford: Blackwell Scientific Publications; 1980. p. 43–78.

    Google Scholar 

  13. de Swiet M. The cardiovascular system. In: Hytten F, Chamberlain G, editors. Clinical physiology in obstetrics. Oxford: Blackwell Scientific Publications; 1980. p. 3–42.

    Google Scholar 

  14. Kakkar VV. The current status of low-dose heparin in the prophylaxis of thrombophlebitis and pulmonary embolism. World J Surg. 1978;2:3–13.

    PubMed  CAS  Google Scholar 

  15. Simpson KH, Stakes AF, Miler M. Pregnancy delays paracetamol absorption and gastric emptying in patients undergoing surgery. Br J Anaesth. 1988;60:24–7.

    PubMed  CAS  Google Scholar 

  16. Lindheimer MD, Katz AI. The renal response to pregnancy. In: Brenner BM, Rector RC, editors. The kidney. 2nd ed. Philadelphia: W.B. Saunders Co; 1981. p. 1762–819.

    Google Scholar 

  17. Hsia TY, Shortliffe LM. The effect of pregnancy on rat urinary tract dynamics. J Urol. 1995;154(2 Pt 2):684–9.

    PubMed  CAS  Google Scholar 

  18. Schulman A, Herlinger H. Urinary tract dilatation in pregnancy. Br J Radiol. 1975;48:638–45.

    PubMed  CAS  Google Scholar 

  19. Tong YC, Wein AC, Levin RM. Effects of pregnancy on adrenergic function in the rabbit urinary bladder. Urodyn. 1992;11:525–33.

    CAS  Google Scholar 

  20. Foldspang A, Mommsen A, Law GW, Elving L. Parity as a correlate of adult female urinary incontinence prevalence. J Epidemiol Community Health. 1992;46:595–600.

    PubMed  CAS  Google Scholar 

  21. Viktrup L, Lose G, Rolff M, Barfoed K. The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol. 1992;79:945–9.

    PubMed  CAS  Google Scholar 

  22. Lee JG, Wein AJ, Levin RM. Effects of pregnancy on urethral and bladder neck function. Urology. 1993;42:747–52.

    PubMed  CAS  Google Scholar 

  23. Loughlin KR. Caring for your pregnant patient. Contemp Urol. 1992;4:22–38.

    Google Scholar 

  24. Barron WM. The pregnant surgical patient: medical evaluations and management. Ann Intern Med. 1984;101:683–91.

    PubMed  CAS  Google Scholar 

  25. Kammerer WS. Non-obstetric surgery during pregnancy. Med Clin North Am. 1979;6:1157–64.

    Google Scholar 

  26. Babaknia A, Hossein P, Woodruff JD. Appendicitis during pregnancy. Obstet Gynecol. 1977;50:40–4.

    PubMed  CAS  Google Scholar 

  27. Horowitz MD, Gomez GA, Santiesteban R, Burkett G. Acute appendicitis during pregnancy. Arch Surg. 1985;120:1362–7.

    PubMed  CAS  Google Scholar 

  28. Welch JP. Miscellaneous causes of small bowel obstruction. In: Wekh J, editor. Bowel obstruction: differential diagnosis and clinical management. London: W.B. Saunders Co; 1990. p. 454–6.

    Google Scholar 

  29. Woodhouse DR, Haylen B. Gallbladder disease complicating pregnancy. Aust NZ J Obstet Gynaecol. 1985;25:223–37.

    Google Scholar 

  30. Drago JR, Rohner Jr TJ, Chez RA. Management of urinary calculi in pregnancy. Urology. 1982;20:578–81.

    PubMed  CAS  Google Scholar 

  31. Setchell M. Abdominal pain in pregnancy. In: Studd J, editor. Progress in obstetrics and gynaecology, vol. 6. London: Churchill Livingstone; 1987. p. 87–99.

    Google Scholar 

  32. Smoleniec J, James D. General surgical problems in pregnancy. Br J Surg. 1990;77:1203–4.

    PubMed  CAS  Google Scholar 

  33. Silen W. Cope’s early diagnosis of the acute abdomen. 17th ed. New York: Oxford University Press; 1987. p. 210–3.

    Google Scholar 

  34. Hull LM, Johnson CE, Lee RA. Cholecystectomy in pregnancy. Obstet Gynecol. 1975;9:291–3.

    Google Scholar 

  35. Palahniuk RJ, Schneider SM, Eger EI. Pregnancy decreases the requirements for inhaled anesthetic agents. Anesthesiology. 1974;41:82–3.

    PubMed  CAS  Google Scholar 

  36. Merryman W. “Progesterone” anesthesia in human subjects. J Clin Endocrinol Metab. 1954;14:1567–8.

    PubMed  CAS  Google Scholar 

  37. Lyreras S, Nyberg F, Lindberg B, Terenius L. Cerebrospinal fluid activity of dynorphin-converting enzyme at term pregnancy. Obstet Gynecol. 1988;72:54–8.

    Google Scholar 

  38. Fagraeus L, Urban BJ, Bromage PR. Spread of epidural analgesia in early pregnancy. Anesthesiology. 1983;58:184–7.

    PubMed  CAS  Google Scholar 

  39. Datta S, Lambert DH, Gregus J. Differential sensitivities of mammalian nerve fibers during pregnancy. Anesth Analg. 1983;62:1070–2.

    PubMed  CAS  Google Scholar 

  40. Safra M, Oakley GP. Association between cleft lip with or without cleft palate and prenatal exposure to diazepam. Lancet. 1975;2:478–80.

    PubMed  CAS  Google Scholar 

  41. Saxen I, Saxen L. Association between maternal intake of diazepam and oral clefts. Lancet. 1975;2:498.

    PubMed  CAS  Google Scholar 

  42. Krieger JN. Complications and treatment of urinary tract infections during pregnancy. Urol Clin North Am. 1986;13(4):685–93.

    PubMed  CAS  Google Scholar 

  43. Sweet RL. Bacteriuria and pyelonephritis during pregnancy. Semin Perinatol. 1977;1:25–40.

    PubMed  CAS  Google Scholar 

  44. Kass EH. A symptomatic infection of the urinary tract. Trans Assoc Am Phys. 1956;69:56–63.

    PubMed  CAS  Google Scholar 

  45. Kass EH. The role of unsuspected infection in the etiology of prematurity. Clin Obstet Gynecol. 1973;16:134–52.

    PubMed  CAS  Google Scholar 

  46. Norden CW, Kass EH. Bacteriuria of pregnancy: a critical appraisal. Annu Rev Med. 1968;19:431–70.

    PubMed  CAS  Google Scholar 

  47. Zinner SH, Kass EH. Long term (10–14 years) follow-up of bacteriuria of pregnancy. N Engl J Med. 1971;285:820–4.

    PubMed  CAS  Google Scholar 

  48. McFadyen IR, Eykyn SJ, Gardner NH. Bacteriuria in pregnancy. J Obstet Gynaecol Br Commonwealth. 1973;80:385–405.

    CAS  Google Scholar 

  49. Zinner SH. Bacteriuria and babies revisited. N Engl J Med. 1979;300:853–5.

    PubMed  CAS  Google Scholar 

  50. Mazor-Dray E, Levy A, Schlaeffer F, Sheiner E. Maternal urinary tract infection: is it independently associated with adverse pregnancy outcome? J Matern Fetal Neonatal Med. 2009;22(2):124–8.

    PubMed  Google Scholar 

  51. Kunin CM. The concepts of “significant bacteria” and asymptomatic bacteria, clinical syndromes and the epidemiology of urinary tract infections. In: Detection, prevention and management of urinary tract infections. 4th ed. Philadelphia: Lea and Febiger; 1987. p. 57–124.

    Google Scholar 

  52. Med Lett. 1991;33(849):71–3.

    Google Scholar 

  53. American College of Obstetricians and Gynecologists Committee on Obstetric Practice. ACOG Committee Opinion No. 494: sulfonamides, nitrofurantoin, and risk of birth defects. Obstet Gynecol. 2011;117(6):1484–5.

    Google Scholar 

  54. Oesterling JE, Besinger RE, Brendler CB. Spontaneous rupture of the renal collecting system during pregnancy: successful management with a temporary ureteral catheter. J Urol. 1988;140:588–90.

    PubMed  CAS  Google Scholar 

  55. El Halabi DAR, Humayun MS, Sharhaan JM. Spontaneous rupture of hydronephrotic kidney during pregnancy. Br J Urol. 1991;67(2):219–20.

    PubMed  Google Scholar 

  56. Mostwin J. Surgery of the kidney and ureter in pregnancy. In: Marshall F, editor. Operative urology. Philadelphia: W.B. Saunders Co; 1991. p. 108–13.

    Google Scholar 

  57. Kroovand RL. Stones in pregnancy and in children. J Urol. 1992;148:1076–8.

    PubMed  CAS  Google Scholar 

  58. Lattanzi DR, Cook WA. Urinary calculi in pregnancy. Obstet Gynecol. 1980;56:462–6.

    PubMed  CAS  Google Scholar 

  59. Hendricks SK, Russ SO, Krieger JN. An algorithm for diagnosis and therapy of management and complications of urolithiasis during pregnancy. Surg Gynecol Obstet. 1991;172:49–54.

    PubMed  CAS  Google Scholar 

  60. Rodriguez PN, Klein AS. Management of urolithiasis during pregnancy. Surg Gynecol Obstet. 1988;166:103–6.

    PubMed  CAS  Google Scholar 

  61. Colombo PA, Pitino R, Pascalino MC, Quoronta S. Control of uterine contraction with tocolytic agents. Ann Obstet Gynecol Med Perinatal. 1981;102:431–40.

    CAS  Google Scholar 

  62. Broaddus SB, Catalano PM, Leadbetter GW, Mann LI. Cessation of premature labor following removal of distal ureteral calculus. Am J Obstet Gynecol. 1982;143:846–8.

    PubMed  CAS  Google Scholar 

  63. Rosenberg E, Sergienko R, Abu-Ghanem S, et al. Nephrolithiasis during pregnancy: characteristics, complications and pregnancy outcome. World J Urol. 2011;29:743–7.

    PubMed  Google Scholar 

  64. Gorton E, Whitfield HN. Renal calculi in pregnancy. Br J Urol. 1997;56(1):4–9.

    Google Scholar 

  65. Maikranz P, Lindheimer M, Coe F. Nephrolithiasis in pregnancy. Baillieres Clin Obstet Gynaecol. 1994;8:375–80.

    PubMed  CAS  Google Scholar 

  66. Stothers L, Lee LM. Renal colic in pregnancy. J Urol. 1992;148:1383–7.

    PubMed  CAS  Google Scholar 

  67. Swartz HM, Reichling BA. Hazards of radiation exposure for pregnant women. JAMA. 1978;239:1907–8.

    PubMed  CAS  Google Scholar 

  68. Harvey EB, Boice JD, Honeyman M, Flannery JT. Prenatal X-ray exposure and childhood cancer in twins. N Engl J Med. 1985;312:541–5.

    PubMed  CAS  Google Scholar 

  69. MacMahon B. Prenatal X-ray exposure and childhood cancer. J Natl Cancer Inst. 1962;28:1173–91.

    PubMed  CAS  Google Scholar 

  70. Mole RH. Antenatal irradiation and childhood cancer: causation or coincidence? Br J Cancer. 1974;30:199–208.

    PubMed  CAS  Google Scholar 

  71. Burge HJ, Middleton WD, McClennan BL, Dildebolt CF. Ureteral jets in healthy subjects and in patients with unilateral ureteral calculi, comparison with color Doppler US. Radiology. 1991;180:437–42.

    PubMed  CAS  Google Scholar 

  72. Platt JF, Rubin JM, Ellis JH. Acute renal obstruction: evaluation with intrarenal duplex Doppler and conventional US. Radiology. 1993;186:685–8.

    PubMed  CAS  Google Scholar 

  73. Platt JF, Rubin JM, Ellis JH, DiPietro MA. Duplex Doppler US of the kidney: differentiation of obstructive from non-obstructive dilation. Radiology. 1989;171:515–7.

    PubMed  CAS  Google Scholar 

  74. Hertzberg BS, Carroll BA, Bowie JD, et al. Doppler US assessment of maternal kidneys: analysis of intrarenal resistivity indexes in normal pregnancy and physiologic pelvicaliectasis. Radiology. 1993;186:689–92.

    PubMed  CAS  Google Scholar 

  75. Laing FC, Benson CB, DiSalvo DN, Brown DL, Frates MC, Loughlin KR. Detection of distal ureteral calculi by vaginal ultrasound. Radiology. 1994;192(2):545–8.

    PubMed  CAS  Google Scholar 

  76. Denstedt JD, Razvi H. Management of urinary calculi during pregnancy. J Urol. 1992;148:1072–5.

    PubMed  CAS  Google Scholar 

  77. Gluck CD, Benson CB, Bundy AL, Doyle CJ, Loughlin KR. Renal sonography for placement and monitoring of ureteral stents during pregnancy. J Endourol. 1991;5:241–3.

    Google Scholar 

  78. Jarrard DJ, Gerber GS, Lyon ES. Management of acute ureteral obstruction in pregnancy utilizing ultrasound-guided placement of ureteral stents. Urology. 1993;42:263–8.

    PubMed  CAS  Google Scholar 

  79. Horowitz E, Schmidt JD. Renal calculi in pregnancy. Clin Obstet Gynecol. 1985;28:324–38.

    PubMed  CAS  Google Scholar 

  80. Kavoussi LR, Albala DM, Basler JW, Apte S, Clayman RV. Percutaneous management of urolithiasis during pregnancy. J Urol. 1992;148:1069–71.

    PubMed  CAS  Google Scholar 

  81. Holman E, Toth C, Khan MA. Percutaneous nephrolithotomy in late pregnancy. J Endourol. 1992;6:421–4.

    Google Scholar 

  82. Loughlin KR, Bailey Jr RB. Internal ureteral stents for conservative management of ureteral calculi during pregnancy. N Engl J Med. 1986;315:1647–9.

    PubMed  CAS  Google Scholar 

  83. Boyle JA, Campbell S, Duncan AM, Greig WR, Buchanan WW. Serum uric acid levels in normal pregnancy with observations on the renal excretion of urate in pregnancy. J Clin Pathol. 1966;19:501–3.

    PubMed  CAS  Google Scholar 

  84. Gertner JM, Coustan DR, Kliger AS, Mallette LE, Ravin N, Broaddus AE. Pregnancy as state of physiologic absorptive hypercalciuria. Am J Med. 1986;81:451–6.

    PubMed  CAS  Google Scholar 

  85. Vest JM. Ureteroscopic stone manipulation during pregnancy. Urology. 1990;35:250–2.

    PubMed  CAS  Google Scholar 

  86. Rittenberg MH, Bagley DH. Ureteroscopic diagnosis and treatment of urinary calculi during pregnancy. Urology. 1988;32:427–8.

    PubMed  CAS  Google Scholar 

  87. Shokei AA, Mutabagani H. Rigid ureterscopy in pregnant women. Br J Urol. 1998;81:678–81.

    Google Scholar 

  88. Smith DP, Graham JB, Prystowsky JB, Dalkin BL, Nemcek AA. The effects of ultrasound-guided shock waves during early pregnancy in Sprague–Dawley rats. J Urol 145: Abstract 180, presented at American Urological Association Meeting, Toronto, Canada, June, 1991.

    Google Scholar 

  89. Agari MA, Sutarinejad MR, Hosseini SY, Dadkhah F. Extracorporated Shock wave lithotripsy of renal cauli during early pregnancy. BJU Int. 1999;84:615–7.

    Google Scholar 

  90. Litwin MS, Loughlin KR, Benson CB, Droege GF, Richie JP. Placenta percreta invading the urinary bladder. Br J Urol. 1988;64:283–6.

    Google Scholar 

  91. Chandraharan E, Rao S, Belli AM, Arulkumaran S. The Triple-P procedure as a conservative surgical alternative to peripartum hysterectomy for placenta percreta. Int J Gynaecol Obstet. 2012;117(2):191–4.

    PubMed  Google Scholar 

  92. Williams SF, Bitran JD. Cancer and pregnancy. Clin Perinatol. 1985;12:609–23.

    PubMed  CAS  Google Scholar 

  93. Gleicher N, Deppe B, Cohen CJ. Common aspects of immunologic tolerance in pregnancy and malignancy. Obstet Gynecol. 1979;54:335–42.

    PubMed  CAS  Google Scholar 

  94. Nieminen N, Remes N. Malignancy during pregnancy. Acta Obstet Gynecol Scand. 1970;49:315–9.

    PubMed  CAS  Google Scholar 

  95. Walker JL, Knight EL. Renal cell carcinoma in pregnancy. Cancer. 1986;58:2343–7.

    PubMed  CAS  Google Scholar 

  96. Weinreb JC, Brown CE, Lowe TW, Cohen JM, Erdman WA. Pelvic masses in pregnant patients: MR and US imaging. Genit Radiol. 1986;159:717–24.

    CAS  Google Scholar 

  97. Rabes HM. Growth kinetics of human renal adenocarcinoma. In: Sufrin G, Beckley SA, editors. Renal adenocarcinoma, Vol. 49, VICC Technical Report Series, Geneva International Union Against Cancer, Geneva, Switzerland, 1980. p. 78–95

    Google Scholar 

  98. Herschel M, Kennedy JL, Kayne HL, Henry M, Cetrulo CL. Survival of infants born at 24 to 28 weeks gestation. Obstet Gynecol. 1982;60:154–8.

    PubMed  CAS  Google Scholar 

  99. Amon E. Limits of fetal viability. Obstet Gynecol Clin North Am. 1988;15:321–38.

    PubMed  CAS  Google Scholar 

  100. Kobayashi T, Fukuzawa S, Muira K, et al. A case of renal cell carcinoma during pregnancy: simultaneous cesarean section and radical nephrectomy. J Urol. 2000;163:1515–6.

    PubMed  CAS  Google Scholar 

  101. Bendsen J, Muller EK, Povey G. Bladder tumor as apparent cause of vaginal bleeding in pregnancy. Acta Obstet Gynecol Scand. 1985;64:329–30.

    PubMed  CAS  Google Scholar 

  102. Cruickshank SH, McNellis TM. Carcinoma of the bladder in pregnancy. Am J Obstet Gynecol. 1983;145:768–70.

    Google Scholar 

  103. Fehrenbaker LG, Rhoads JC, Derby DR. Transitional cell carcinoma of the bladder during pregnancy: case report. J Urol. 1972;108:419–20.

    PubMed  CAS  Google Scholar 

  104. Keegan GT, Farkowitz MJL. Transitional cell carcinoma of the bladder during pregnancy: a case report. Tex Med. 1982;78:44–5.

    PubMed  CAS  Google Scholar 

  105. Sheffrey JB. Prolapsed malignant tumor of the bladder as a complication of pregnancy. Am J Obstet Gynecol. 1946;51:910–1.

    Google Scholar 

  106. Choate JW, Thiede HA, Miller HC. Carcinoma of the bladder in pregnancy: report of three cases. Am J Obstet Gynecol. 1964;90:526–30.

    PubMed  CAS  Google Scholar 

  107. Gonzalez-Blanco S, Mador DR, Vickar DB, McPhee M. Primary bladder cancer presenting during pregnancy in three cases. J Urol. 1989;141:613–4.

    PubMed  CAS  Google Scholar 

  108. Benacerraf BR, Kearney GP, Gittes RF. Ultrasound diagnosis of small asymptomatic bladder carcinoma in patients referred for gynecological care. J Urol. 1984;132:892–3.

    PubMed  CAS  Google Scholar 

  109. Burgess III GE. Alpha blockade and surgical intervention of pheochromocytoma in pregnancy. Obstet Gynecol. 1978;53:266–70.

    Google Scholar 

  110. Schenker JG, Grant M. Pheochromocytoma and pregnancy: an updated appraisal. Aust NZ J Obstet Gynaecol. 1982;22:1–10.

    CAS  Google Scholar 

  111. Manger WM, Gifford RW, Hoffman BB. Pheochromocytoma: a clinical and experimental overview. Curr Probl Cancer. 1985;9:1–89.

    PubMed  CAS  Google Scholar 

  112. Wagener GW, Van Rendborg LC, Schaetzing A. Pheochromocytoma in pregnancy. A case report and review. S Afr J Surg. 1981;19:251–5.

    PubMed  CAS  Google Scholar 

  113. Griffin J, Brooks N, Patricia F. Pheochromocytoma in pregnancy: diagnosis and collaborative management. South Med J. 1984;77:1325–7.

    PubMed  CAS  Google Scholar 

  114. Janetschek G, Finkenstedt G, Gasser R, et al. Laparoscopic surgery for pheochromocytoma: adrenalectomy, partial resection, excision of paragangliomas. J Urol. 1998;160:330–4.

    PubMed  CAS  Google Scholar 

  115. Lata I, Sahu S. Management of paroxysmal hypertension due to incidental pheochromocytoma in pregnancy. J Emerg Trauma Shock. 2011;4(3):415–7.

    PubMed  Google Scholar 

  116. Mitchell SZ, Frelich JD, Brant D, Flynn M. Anesthetic management of pheochromocytoma resection during pregnancy. Anesth Anal. 1987;66:478–80.

    CAS  Google Scholar 

  117. Aishma M, Tanaka M, Haraoka M, Naito S. Retroperitoneal laparascopic adrenalectomy in a pregnant woman with cushing’s syndrome. J Urol. 2000;164:770–1.

    Google Scholar 

  118. Greenberg RE, Vaughan Jr ED, Pitts Jr WR. Normal pregnancy and delivery after ileal conduit urinary diversion. J Urol. 1981;125:172–3.

    PubMed  CAS  Google Scholar 

  119. McCullough DL. Pheochromocytoma. In: Resnick MI, Kursh E, editors. Current therapy in genitourinary surgery. Toronto, Philadelphia: C.V. Mosby Co; 1987. p. 4–7.

    Google Scholar 

  120. Greenberg M, Moawad A, Weities B. Extraadrenal pheochromocytoma: detection during pregnancy using MR imaging. Radiology. 1986;161:475–6.

    PubMed  CAS  Google Scholar 

  121. Potts JM, Larrimer J. Pheochromocytoma in a pregnant patient. J Fam Pract. 1994;38(3):289–93.

    PubMed  CAS  Google Scholar 

  122. Bravo RH, Katz M. Ureteral obstruction in a pregnant patient with an ileal loop conduit. A case report. J Reprod Med. 1983;28:427–9.

    PubMed  CAS  Google Scholar 

  123. Barrett RJ, Peters WA. Pregnancy following urinary diversion. Obstet Gynecol. 1983;62:582–6.

    PubMed  Google Scholar 

  124. Akerlund S, Bokstrom H, Jonson O, Kock NG, Wennergren M. Pregnancy and delivery in patients with urinary diversion through the continent ileal reservoir. Surg Gynecol Obstet. 1991;173:350–2.

    PubMed  CAS  Google Scholar 

  125. Ojerskog B, Kock NG, Philipson BM, Philipson M. Pregnancy and delivery in patients with a continent ileostomy. Surg Gynecol Obstet. 1988;167:61–4.

    PubMed  CAS  Google Scholar 

  126. Kennedy WA, Hensle TW, Reiley EA, Fox HE, Haus T. Pregnancy after orthotopic continent urinary diversion. Surg Gynecol Obstet. 1993;177:405–9.

    PubMed  Google Scholar 

  127. Hill DE, Kramer SA. Management of pregnancy after augmentation cystoplasty. J Urol. 1990;144:457–9.

    PubMed  CAS  Google Scholar 

  128. Murray JE, Reid DE, Harrison JH, Merrill JP. Successful pregnancies after human renal transplantation. N Engl J Med. 1963;269:341–3.

    PubMed  CAS  Google Scholar 

  129. Lau RJ, Scott JR. Pregnancy following renal transplantation. Clin Obstet Gynecol. 1985;28:339–50.

    PubMed  CAS  Google Scholar 

  130. Al Duraihimh H, Ghamdi G, Moussa D, et al. Outcome of 234 pregnancies in 140 renal transplant recipients from five middle eastern countries. Transplantation. 2008;85(6):840–3.

    PubMed  Google Scholar 

  131. Fine RN. Pregnancy in renal allograft recipients. Am J Nephrol. 1982;2:117–21.

    PubMed  CAS  Google Scholar 

  132. Pickrell MD, Sawers R, Michael J. Pregnancy after renal transplantation: severe intrauterine growth retardation during treatment with cyclosporine A. Br Med J. 1988;296:825.

    CAS  Google Scholar 

  133. Dainer M, Hall CD, Choen J. Bhutian: pregnancy following incontinence surgery. Int Urogynecol J Pelvic Floor Dystruration. 1998;916:385–90.

    Google Scholar 

  134. Mason L, Glenn S, Walton I, Appleton C. The prevalence of stress incontinence during pregnancy and following delivery. Midwifery. 1999;15:120–8.

    PubMed  CAS  Google Scholar 

  135. Kirue S, Jenson H, Agger AO, Rasmussen KL. The influence of infant birth weight on post partum stress incontinence in obese women. Arch Gynecol Obstet. 1997;259:143–5.

    Google Scholar 

  136. Thomas AH, Thomas AZ, Campbell SC, Palner JS. Urologic emergencies in pregnancy. Urology. 2010;76(2):453–60.

    PubMed  Google Scholar 

  137. Raghaviah NV, Devi AI. Bladder injury associated with rupture of the uterus. Obstet Gynecol. 1975;46:573–5.

    Google Scholar 

  138. Eisenkop SM, Richman R, Platt LD. Urinary tract injury during cesarean section. Obstet Gynecol. 1983;60:591–3.

    Google Scholar 

  139. Michal A, Begneaud WP, Hawes Jr TP. Pitfalls and complications of cesarean section hysterectomy. Clin Obstet Gynecol. 1969;12:660–3.

    Google Scholar 

  140. Barclay DL. Cesarean hysterectomy: a thirty year experience. Obstet Gynecol. 1970;35:120–3.

    PubMed  CAS  Google Scholar 

  141. Loughlin KR. The urologist in the delivery room. Urol Clin North Am. 2002;29:705–8.

    PubMed  Google Scholar 

  142. Meirow D, Moriel EZ, Zilberman M, Farkas A. Evaluation and treatment of iatrogenic ureteral injuries during obstetric and gynecologic operations for nonmalignant conditions. Surg Gynecol Obstet. 1994;178:144–8.

    CAS  Google Scholar 

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  1. Division of Urology, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA, 02115, USA

    Kevin R. Loughlin

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  1. Kevin R. Loughlin
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  1. Men's Health Consultant, 900 Welch Road, Suite 202, Palo Alto, 94305, USA

    Jeannette M. Potts

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© 2012 Springer Science+Business Media New York

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Loughlin, K.R. (2012). Management of Urological Problems During Pregnancy: A Rationale and Strategy. In: Potts, J. (eds) Essential Urology. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-092-2_7

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  • DOI: https://doi.org/10.1007/978-1-62703-092-2_7

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-091-5

  • Online ISBN: 978-1-62703-092-2

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