Naslov
A 27-year-old patient with congenital bladder exstrophy and recurrent pelvic organ prolapse: a case report
(A 27-year-old patient with congenital bladder exstrophy and recurrent pelvic organ prolapse: a case report)

Autori
Banović, Vladimir ; Mikuš, Mislav ; Kalafatić, Držislav ; Mandić, Vjekoslav ; Orešković, Slavko

Izvornik
Acta clinica Croatica (1333-9451) 59 (2020), 2; 373-376

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
bladder exstrophy ; Manchester-Fothergill procedure ; pelvic organ prolapse ; pregnancy

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 long-term surveillance is necessary in terms of renal function, urinary continence, malignancy and possible obstetric issues.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA