title: Simultaneous repair of sigmoid colon conduit fistula and neovagina construction in a patient with bladder exstrophy.
abstract: Recurrent urogynecologic complications in women with bladder exstrophy are common and complex given the congenital abnormalities of the bony, connective tissue, and muscular support of the pelvic floor, as well as the length and axis of the vagina. Management of these issues is challenging and often requires unique surgical strategies. We present the case of a distinct, individualized surgical approach to management of several complicated urogynecologic issues in a woman with bladder exstrophy who desired surgical correction of a non-healing fistula, pelvic organ prolapse, and a short vagina.
authors.affiliation: Department of Urology, Johns Hopkins Bayview Medical Center, Baltimore, Maryland 21224, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Miles-Thomas
authors.forename: Sahar
authors.initials: S
authors.lastname: Kohanim
authors.forename: John P
authors.initials: JP
authors.lastname: Gearhart
authors.forename: E James
authors.initials: EJ
authors.lastname: Wright
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D001746:Bladder Exstrophy / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000601:surgery*; D012810:Sigmoid Diseases / Q000150:complications* / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*