Cesarean Section in Women With a Neobladder: A Case Report Focusing on Anatomical Changes and Surgical Considerations

As an increasing number of women who underwent augmentation cystoplasty (AC) reach childbearing age, there is a growing need for detailed guidance on pregnancy and delivery management. The recommended mode of delivery may vary depending on individual anatomy and clinical circumstances. Even when vaginal delivery is attempted, the possibility of emergency cesarean section must always be anticipated. Therefore, a thorough understanding of AC-associated alterations in pelvic anatomy, which directly influence surgical planning and execution, is important. However, detailed operative guidance in surgical context remains limited. Here, we report a pregnant woman who had AC at the age of nine and had relied on clean intermittent catheterization in her life and delivered her baby with an emergency cesarean section. Along with preoperative MRI findings, we provide comprehensive intraoperative documentation, including extensive surgical photographs, and describe technical challenges encountered during cesarean delivery. Our report aims to contribute practical insights into obstetric management in this complex population.