Complete transurethral bladder eversion 3 months after hemipelvectomy.
A 46-year-old white female underwent a left hemipelvectomy for chondrosarcoma. She presented with total incontinence and a bulging vaginal mass. Exam confirmed complete transurethral bladder eversion that was addressed with transvaginal multilayer bladder neck closure and suprapubic tube placement. Eventually she underwent abdominal hysterectomy, mesh sacral colpopexy, and catheterizable stoma creation. Patient is continent of urine 3 months postoperatively. We present the first reported case of bladder eversion after hemipelvectomy and propose possible pathophysiologic mechanisms.
Lowe
Gregory
G
Department of Urology, The Ohio State University Medical Center, 3620 Cramblett Hall, 456 West 10th Avenue, Columbus, OH 43210, USA.
Mandalapu
Subbarao
S
Gilleran
Jason
J
D005260:Female; D006428:Hemipelvectomy; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000473:pathology*; D013997:Time Factors; D001743:Urinary Bladder / Q000473:pathology*; D001745:Urinary Bladder Diseases / Q000473:pathology* / Q000601:surgery