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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

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Bladder exstrophy in adulthood: About a case report.

Seif Mokadem¹, Ahmed Saadi¹, Bilel Saideni¹

¹University of Tunis El Manar, Faculty of Medicine, Charles Nicolle Hospital of Tunis, Urology Department, Tunisia.

Urology Case Reports

|February 4, 2022

Summary

This summary is machine-generated.

Bladder exstrophy, a rare condition, was treated in a 26-year-old woman. Initial reconstructive surgery failed, leading to a cystectomy and urinary diversion.

Keywords:

Abdominal wall Adulthood Bladder exstrophy Malformation

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Area of Science:

Urology
Surgical Innovation
Congenital Malformations

Background:

Bladder exstrophy is a rare congenital anomaly involving the abdominal wall and bladder.
Adult presentation of bladder exstrophy is exceptionally uncommon, posing unique treatment challenges.

Observation:

A 26-year-old woman with no prior medical history presented with bladder exstrophy.
Initial treatment involved iliac osteotomy, ileal bladder augmentation, and a Monti-type continent urinary diversion with Promentofixation.

Findings:

Postoperative complications included a persistent vesico-cutaneous fistula, refractory to two surgical revisions.
Ultimately, a cystectomy and a non-continent Bricker external urinary diversion were necessary.

Implications:

This case highlights the complexities of managing adult bladder exstrophy.
It underscores the need for adaptable surgical strategies when initial reconstructions fail.
The successful conversion to a Bricker diversion offers a viable salvage option for complex cases.