title: "My bladder is hanging out of my anus": Successful Management of First Reported Case of Male Transanal Bladder Prolapse.
abstract: We present a case of an 81-year-old man who presented with a large recto-urethral fistula resulting in prolapsing bladder through the anus. A multi-disciplinary approach with urology, colorectal surgery and plastic surgery was utilized for management of the prolapse with excellent postoperative result. This unique scenario enabled a transanal cystoprostatectomy; the procedure was completed using a natural orifice without transabdominal surgery.
authors.affiliation: Spectrum Health Hospital System, Division of Urology, 4069 Lake Drive SE, Ste 313, Grand Rapids, MI 49546, USA; Michigan State University College of Human Medicine, 25 Michigan Street, Grand Rapids, MI 49503, USA.
authors.forename: Samer W
authors.initials: SW
authors.lastname: Kirmiz
authors.affiliation: Grand Health Partners, Division of Plastic Surgery, 2060 E Paris Ave SE # 100, Grand Rapids, MI 49546, USA.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Livingston
authors.affiliation: Spectrum Health Hospital System, Division of Colorectal Surgery, 4100 Lake Dr SE #205, Grand Rapids, MI 49546, USA.
authors.forename: Martin A
authors.initials: MA
authors.lastname: Luchtefeld
authors.affiliation: Spectrum Health Hospital System, Division of Urology, 4069 Lake Drive SE, Ste 313, Grand Rapids, MI 49546, USA.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Brede
authors.affiliation: Spectrum Health Hospital System, Division of Urology, 4069 Lake Drive SE, Ste 313, Grand Rapids, MI 49546, USA.
authors.forename: Sabrina L
authors.initials: SL
authors.lastname: Noyes
authors.affiliation: Spectrum Health Hospital System, Division of Urology, 4069 Lake Drive SE, Ste 313, Grand Rapids, MI 49546, USA; Michigan State University College of Human Medicine, 25 Michigan Street, Grand Rapids, MI 49503, USA.
authors.forename: Brian R
authors.initials: BR
authors.lastname: Lane
keywords: BPH, Benign prostatic hypertrophy; Recto-urethral fistula; TURP, Transurethral resection of the prostate; Transanal bladder prolapse