Objective To assess the course and outcome of in patients who have und
ergone clam enterocystoplasty. Patients and methods A retrospective st
udy was carried out of 19 pregnancies in 18 women aged from 21 to 36 y
ears who had undergone clam enterocystoplasty. Results Urinary tract i
nfection was common but renal function remained normal with prompt tre
atment with antibiotics. No other adverse antenatal factors were ident
ified and all pregnancies had a normal fetal outcome. Vaginal delivery
was a safer option for these patients, even in those who had undergon
e an anti-incontinence procedure in addition to enterocystoplasty. Con
clusion Careful antenatal monitoring by both an obstetrician and a uro
logist resulted in a successful pregnancy and vaginal delivery in thes
e patients.