Espinosa CGB

Language: Spanish
References: 6
Page: 202-205
PDF size: 80.69 Kb.

ABSTRACT

We report a feminine patient case, who was born with classic vesical extrophy and treated with primary vesical closing, later using classic osteotomy when she was two years old, this patient evolved with urinary incontinence, and when she was 11 years old, an urinary reconstruction was made consisted of previous osteotomy or innominated, ureteral bilateral reimplant Cohen type, vesical neck plasty and segment gastric increase citoplasty. The patient reached partial urinary continencia with periods of 30-40 dry minutes three months after the reconstruction surgery. The patient was under training of the perineal and pelvic musculature per indefinite time. She appeared at 22 years of age with total urinary continence with dry episodes of three to four hours and normal voluntary spontaneous micturition and with incapacity for sexual activity. She was treated with vaginoplasty evolving satisfactorily, initiating sexual activity without problems two months of post surgery. At the moment of 24 years of age she has a normal life, with normal urinary continence, and normal sexual activity awaiting pregnancy.

REFERENCES

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