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Complete transurethral bladder eversion 3 months after hemipelvectomy.

Gregory Lowe1, Subbarao Mandalapu, Jason Gilleran

  • 1Department of Urology, The Ohio State University Medical Center, 3620 Cramblett Hall, 456 West 10th Avenue, Columbus, OH 43210, USA.

International Urogynecology Journal
|July 25, 2009
PubMed
Summary
This summary is machine-generated.

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This case study details bladder eversion following a hemipelvectomy for chondrosarcoma. Surgical repair led to the patient regaining urinary continence.

Area of Science:

  • Urology
  • Gynecologic Oncology
  • Surgical Oncology

Background:

  • Chondrosarcoma is a rare bone malignancy.
  • Hemipelvectomy is a radical surgical procedure involving the removal of half of the pelvis.
  • Pelvic surgeries can lead to complex genitourinary complications.

Observation:

  • A 46-year-old female presented with total urinary incontinence and a vaginal mass post-hemipelvectomy for chondrosarcoma.
  • Examination revealed a complete transurethral bladder eversion.
  • This is the first reported case of bladder eversion after a hemipelvectomy.

Findings:

  • The patient underwent transvaginal multilayer bladder neck closure and suprapubic tube placement.
  • Subsequent procedures included abdominal hysterectomy, mesh sacral colpopexy, and creation of a catheterizable stoma.

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  • Postoperatively, the patient achieved urinary continence at 3 months.

    • Implications:

    • This case highlights a rare but significant complication of hemipelvectomy.
    • Understanding the pathophysiologic mechanisms is crucial for preventing and managing bladder eversion.
    • Multidisciplinary surgical approaches can effectively restore urinary function in complex cases.