Table 1 男性膀胱外反症患者の下部尿路と妊孕能
Summary of lower urinary tract status
7 men 8 women
Method of voiding
Urethrally from bladder
No. of patients Comments
2
Both continent, one with poor
sensation and inefficient emptying
1
Totally dry, no stoma problems
8
No stoma problems, no revision
procedures needed
3
No stoma problems, no revision
procedures needed
1
No problems
Augumented bladder, Mitrofanoff channel
Ieal conduit
Colonic conduit
Transuretero-ureterostomy cutaneous
ureterostomy
Details of genital reconstruction and functional outcome
Surgery/outcome
Penile reconstruction
Recurrent epididymo-orchitis
Sexual active
Offspring
6/7
5/7
4/7
2 partners conceived
Biard AD, et al. BJUI 93: 1303, 2004
Table 2 女性膀胱外反症患者の妊孕能
Fertility outcome in patients with bladder exstrophy trying to conceive
Outcome
Conception
Investigation
for infertility
Within 1 year Delayed
4(21%)
15(79%)
Fertility treatment
5(26%)
Endometriosis-4
IVF-4 (successful in only 1 case)
Tubal obstruction-3
Unilateral oophorectomy-3
PCOS-2
Unknown-3
42/52(81%) sexually active
Outcome of 57 pregnancies in 19 women born with bladder exstrophy
Outcome
Live birth
Miscarriage
Termination
Stillbirth
Total
Singleton pregnancies
n=54
31
21
1
1
54
Twin pregnancies
n=3
3
3
6
Total number
(%)
34(56)
21(35)
125)
4(7)
60(100)
Deans R, et al. AJOG 2012,206: 496e1-e6.