Transurethral bladder eversion concurrent with uterovaginal prolapse.
BACKGROUND
Transurethral bladder eversion is rare. A case of transurethral bladder eversion with concurrent uterovaginal prolapse is presented.


METHODS
The patient was postmenopausal, had a long history of uterovaginal prolapse, and developed bladder eversion. Examination under anesthesia revealed full-thickness transurethral bladder eversion and complete uterine procidentia. Temporary reduction of the prolapse was done initially because of her unstable medical condition. After medical stabilization, definitive surgical reconstruction was completed by a vaginal approach.


CONCLUSIONS
Full-thickness, transurethral bladder eversion can be surgically treated by a vaginal approach.
Mastropietro
Marisa A
MA
Section of Urogynecology/Reconstructive Pelvic Surgery Lehigh Valley Hospital, Allentown, Pennsylvania, USA. marisa.mastropietro@lvh.com
Clark
Matthew H
MH
Hale
Douglass S
DS
D001746:Bladder Exstrophy / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D017698:Postmenopause; D001743:Urinary Bladder / Q000473:pathology* / Q000601:surgery; D014596:Uterine Prolapse / Q000150:complications* / Q000601:surgery