title: Twin pregnancy achieved through TESE in an adult male exstrophy.
abstract: Bladder exstrophy is a rare anomaly, it compromises bladder functions, and in males it occurs with an impairment of reproductive functions, because of erectile and ejaculatory deficit. Advancements in the surgical treatment of bladder exstrophy have allowed an improvement of the bladder functions while spontaneous conception is still impaired. This is a case report of a pregnancy and subsequent birth of twins following testicular sperm extraction, on a man born with classical bladder exstrophy with infertility due to an ejaculation.
authors.affiliation: Department of Obstetrics and Gynecology, Prenatal and Preimplantation Genetic Diagnosis, Fetal Therapy, Ospedale Microcitemico, Cagliari, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Lai
authors.forename: G
authors.initials: G
authors.lastname: Perra
authors.forename: V
authors.initials: V
authors.lastname: Usai
authors.forename: M G
authors.initials: MG
authors.lastname: Demontis
authors.forename: C
authors.initials: C
authors.lastname: Cugusi
authors.forename: P
authors.initials: P
authors.lastname: Perda
authors.forename: G
authors.initials: G
authors.lastname: Cau
authors.forename: S
authors.initials: S
authors.lastname: Malocci
authors.forename: G
authors.initials: G
authors.lastname: Monni
mesh_terms: D000328:Adult; D001746:Bladder Exstrophy / Q000150:complications / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D007248:Infertility, Male / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D008297:Male; D011247:Pregnancy; D011272:Pregnancy, Multiple; D020554:Sperm Injections, Intracytoplasmic / Q000379:methods*; D013737:Testis / Q000503:physiopathology*; D014427:Twins