Complete Bladder Eversion after Colpocleisis

Area of Science:

• Urology
• Gynecology
• Surgical Innovation

Background:

• Complete urinary bladder eversion is a rare condition presenting a significant clinical challenge.
• Traditional management for extensive cases often involves laparotomy, a highly invasive procedure.
• Exploring alternative, less invasive surgical techniques is crucial for patient outcomes.

Observation:

• A case study involving a 76-year-old postmenopausal woman with transurethral bladder eversion post-Le Fort colpocleisis.
• The patient presented with severe symptoms including vaginal pain, bleeding, and acute renal failure.
• A novel transvaginal surgical approach was employed instead of traditional laparotomy.

Findings:

• The transvaginal approach successfully treated the bladder eversion, resolving the patient's symptoms.
• Post-operative assessment revealed significant improvement in renal function.
• This case highlights the efficacy of transvaginal bladder neck closure and suprapubic catheterization.

Implications:

• The transvaginal approach represents a viable, less invasive alternative to laparotomy for managing recurrent bladder eversion.
• This technique may offer improved patient recovery and reduced surgical morbidity.
• Further research into this approach could refine treatment guidelines for this rare condition.