Exstrophy-epispadias sequence is an uncommon diagnosis in which surgical reconstruction has increased quality of life for these patients. As they are entering the reproductive phase of their life, consideration must be made for management of their pregnancies in the context of their genitourinary reconstruction. There have been few case reports of patients with cloacal exstrophy conceiving; therefore, information to guide management of their pregnancies is limited. Here we describe a patient with Omphalocele-Exstrophy-Imperforate Anus-Spinal defects (OEIS) and a patient with a history of bladder exstrophy both with spontaneous pregnancy managed by a multidisciplinary approach and primary cesarean delivery.
Bladder exstrophy, exstrophy-epispadias sequence, omphalocele-exstrophy-imperforate anus-spinal defects, pregnancy
The authors report no conflict of interest.
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Gnade CM, Williams HR, Kowalski JT, Andrews JI, Anaya H. Management of pregnancy in patients with exstrophy-epispadias sequence: a case series and literature review. Proc Obstet Gynecol. 2018 Feb 28;8(1):Article 3 [9 p.]. https://doi.org/10.17077/2154-4751.1372. Free full text article.