title: Recurrent pelvic organ prolapse in a woman with bladder exstrophy: a case report of surgical management and review of the literature.
abstract: Management of gynecologic issues in women with bladder exstrophy is challenging. Congenital pelvic organ prolapse and prolapse-associated pregnancy and delivery are common. The management of prolapse is complicated by the anatomic changes involving the bony pelvis, connective tissue support, pelvic floor, and the length and axis of the vagina. A case of recurrent pelvic organ prolapse successfully managed with a sacral colpopexy and a review of the literature are presented.
authors.affiliation: The Cleveland Clinic Foundation, Cleveland, Ohio, USA. muirtw@aol.com
authors.forename: Tristi W
authors.initials: TW
authors.lastname: Muir
authors.forename: A Michele
authors.initials: AM
authors.lastname: Aspera
authors.forename: Raymond R
authors.initials: RR
authors.lastname: Rackley
authors.forename: Mark D
authors.initials: MD
authors.lastname: Walters
mesh_terms: D001746:Bladder Exstrophy / Q000150:complications*; D020884:Colpotomy / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery; D012189:Retrospective Studies; D055502:Secondary Prevention; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000209:etiology* / Q000601:surgery*; D014621:Vagina / Q000601:surgery