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Pelvic Organ Prolapse and Pregnancy in the Female Bladder Exstrophy Patient

  • Female Urology (L Cox, Section Editor)
  • Published:
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Abstract

Purpose of Review

Classic bladder exstrophy (BE) remains one of the most demanding reconstructive challenges encountered in urology. In female BE patients, the long-term sequela of both primary and revision genitoplasty, as well as intrinsic pelvic floor deficits, predispose adult women to significant issues with sexual function, pelvic organ prolapse (POP), and complexities with reproductive health.

Recent Findings

Contemporary data suggest 30–50% of women with BE develop prolapse at a mean age of 16 years. Most women will require revision genitoplasty for successful sexual function, although in some series over 40% report dyspareunia. Current management for pregnancy includes elective cesarean section with involvement of high-risk obstetrics and urologic surgery.

Summary

This review encapsulates contemporary concepts of etiology, prevalence, and management of POP and pregnancy in the adult female BE patient.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Urologic Surgery, Vanderbilt University Medical Center, A-1302 Medical Center North, Nashville, TN, 37232-2765, USA

    Melissa R. Kaufman

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  1. Melissa R. Kaufman
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Correspondence to Melissa R. Kaufman.

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Melissa R. Kaufman is a global principal investigator for Cook Myosite, Inc. and an advisory board member for Boston Scientific.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Kaufman, M.R. Pelvic Organ Prolapse and Pregnancy in the Female Bladder Exstrophy Patient. Curr Urol Rep 19, 18 (2018). https://doi.org/10.1007/s11934-018-0767-2

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