Robotic surgery for pelvic organ prolapse with complete bladder eversion

Manabu Ichino, Hitomi Sasaki, Masashi Takenaka, Keiichiro Ichihara, Akihiro Kawai, Kosuke Fukaya, Kenji Zennami, Kiyoshi Takahara, Makoto Sumitomo, Ryoichi Shiroki

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Pelvic organ prolapse with complete bladder eversion is extremely rare. Case presentation: An 82-year-old woman was diagnosed with uterine prolapse 3 years ago and underwent occasional urethral catheter placement for difficulty in micturition. She presented with vulvar bleeding and prolapsed uterus from the vagina. Pelvic examination revealed uterine prolapse and a 65 × 65-mm red mass ventrally with urinary outflow. Contrast medium leakage from the vulvar mass and guidewire observed on antegrade pyeloureterography indicated pelvic organ prolapse with complete bladder eversion. Manual reduction of the everted bladder, robotic sacrocolpopexy, and bladder neck reconstruction was performed. However, eversion recurred 10 months postoperatively. Subsequently, robotic Burch colposuspension, cystopexy to the rectus fascia, bladder neck reconstruction, colpoclesis, and cystostomy were performed. There was no recurrence postoperatively. Conclusion: Robotic Burch colposuspension, cystopexy to the rectus fascia, bladder neck reconstruction, colpoclesis, and cystostomy were performed for complete bladder eversion.

Original languageEnglish
JournalIJU Case Reports
DOIs
Publication statusAccepted/In press - 2022

All Science Journal Classification (ASJC) codes

  • Urology

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