The relationship between sacral cysts and pregnancy and childbirth

  The relationship between sacral cysts and pregnancy and childbirth I. Can a patient with sacral cysts become pregnant? Will pregnancy aggravate the sacral cyst?  If the sacral cyst is already very large, or the symptoms are very serious, or it affects the function of urination and defecation, you should have sacral cyst surgery before pregnancy, because pregnancy and breastfeeding are a long cycle, and some sacral cysts should not be delayed for a long time. On the contrary, if the sacral cyst is small and the symptoms are not obvious, you can get pregnant first.  If it does not protrude into the pelvic cavity. Sacral cysts may worsen during pregnancy, but medically, sacral cysts are not a contraindication to pregnancy.  Although it is not a contraindication, pregnancy because of the long cycle, the possibility of aggravation of sacral cyst symptoms and even neurological dysfunction occurring during the period is there. Therefore, it is risky to say.  Possible neurological dysfunctions are: urinary and fecal dysfunction, mainly manifested by rectal weakness, constipation, bladder weakness, difficulty in urination, urinary frequency, and in a few cases, urinary incontinence and fecal incontinence.  Secondly, for patients with sacral cyst, do you choose natural delivery or cesarean section?  We have no special requirements, just according to the choice of the obstetrician. Since the time of delivery is always relatively short, in a very limited time, even if the abdominal pressure increases more significantly during natural delivery, the effect on sacral cyst is not significant. In the case of postoperative patients with sacral canal cysts, they can also withstand the test of delivery because the leak has been tightly sealed.  Third, can lumbar anesthesia be done for postoperative patients with sacral canal cysts?  The surgical incision of sacral duct cyst is very small, usually only 4-5 cm, and the highest incision is usually not higher than the level of lumbar 5, so it is possible to do lumbar anesthesia from a little higher segment.  4.Can sacral cysts cause infertility?  The factors affecting pregnancy are mainly the female reproductive system and hormone levels, and have little to do with neurological function. For example, the famous gymnast Mulan was paraplegic due to complete damage of cervical medulla and lost the function of urination and defecation, but she still managed to get pregnant and give birth under the care of modern medicine. In all these years of clinical practice, we have never seen a case of infertility due to sacral cyst or sacral cyst surgery.