Acta clinica Croatica, Vol. 59. No. 2., 2020.
Ostalo
https://doi.org/10.20471/acc.2020.59.02.24
A 27-Year-Old Patient with Congenital Bladder Exstrophy and Recurrent Pelvic Organ Prolapse: a Case Report
Vladimir Banović
; Zagreb University Hospital Centre, Department of Obstetrics and Gynecology, Zagreb, Croatia
Mislav Mikuš
; Zagreb University Hospital Centre, Department of Obstetrics and Gynecology, Zagreb, Croatia
Držislav Kalafatić
; Zagreb University Hospital Centre, Department of Obstetrics and Gynecology, Zagreb, Croatia
Vjekoslav Mandić
; Mostar University Hospital, Department of Obstetrics and Gynecology, Mostar, Bosnia and Herzegovina
Slavko Orešković
; Zagreb University Hospital Centre, Department of Obstetrics and Gynecology, Zagreb, Croatia
Sažetak
Bladder exstrophy (BE) is a rare congenital malformation estimated to occur in up to 1/250,000 female live births. The evidence supporting the incidence, uterine preservation and its overall fertility rate in patients with pelvic organ prolapse (POP) and BE is not precisely determined.
We report a case of BE and POP in a 27-year-old nulliparous Caucasian. Due to the patient’s strong fertility desire, considering her extensive surgical history background, our approach was to correct POP via the Manchester-Fothergill procedure. After 36 months, the patient was still asymptomatic with no evidence for prolapse recurrence. This case demonstrates diagnostic challenges and surgical dilemmas in treatment strategy for patients with BE and co-existent POP. Furthermore, routine longterm surveillance is necessary in terms of renal function, urinary continence, malignancy and possible obstetric issues.
Ključne riječi
Bladder exstrophy; Pelvic organ prolapse; Pregnancy; Manchester-Fothergill procedure
Hrčak ID:
243725
URI
Datum izdavanja:
1.6.2020.
Posjeta: 1.698 *