2012, Number 3
Rev Mex Urol 2012; 72 (3)
Pregnancy in a patient with reconstructed bladder exstrophy with osteotomy, continent urinary reservoir with the Mitrofanoff principle, vaginoplasty, and uterus didelphys
Espinosa-Chávez GB, Urbina-Bernal LC, Dávila-Garza A, Carrillo-Treviño S, Madrigal-Medina R, García-Rodríguez MÁ, Garza-Rodríguez R
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Language: Spanish
References: 9
Page: 145-149
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ABSTRACT
Bladder exstrophy is a pathology caused by developmental failure of the cloacal membrane, with open bladder exposure and genital malformation. It has been described throughout history and there is a high risk of familial recurrence. Neonates undergo surgery with good results for bladder function and continence. The first procedures of urinary diversion and exeresis of vesical plaque have evolved through the work of different authors that have improved and complemented previously described advances, arriving at bladder closure by stages, and more recently at complete primary closure. The desired urinary continence is difficult to achieve in some cases and in patients that have reached adulthood with no previous treatment, and an effective alternative for these cases is the creation of a continent urinary reservoir.We present the case of a 29-year-old woman born with classic bladder exstrophy, in addition to uterus didelphys, that reached adulthood with no treatment. Cystectomy, anterior osteotomy, and continent urinary reservoir with the Mitrofanoff principle were carried out.
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