| Autor: |
Stefaan Pacquee, Dean H Conrad, Tal D Saar, David Rosen, Gregory Cario, Danny Chou, Maria-Elisabeth Smet |
| Jazyk: |
angličtina |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
Gynecology and Minimally Invasive Therapy, Vol 7, Iss 3, Pp 127-129 (2018) |
| Druh dokumentu: |
article |
| ISSN: |
2213-3070 |
| DOI: |
10.4103/GMIT.GMIT_14_18 |
| Popis: |
We herein describe the operative approach of a postmenopausal woman with a history of surgically corrected congenital bladder exstrophy-epispadias who presented with long-standing complete procidentia. The patient was initially treated by laparoscopic sacral colpopexy in conjunction with a modified Elevate mesh kit anterior vaginal repair with and posterior vaginal wall repair in the form of native tissue suture plication repair. Her prolapse recurred 8 months' later due to a detachment of the mesh at the level of the promontorium. During the second-look laparoscopy, a resuspension of this mesh was deemed unsatisfactory; therefore, with patients' consent, a successful colpocleisis was performed. This case report emphasizes the complexity of pelvic organ prolapse (POP) in the context of a bladder exstrophy-epispadias complex. These women are more likely to fail the more conventional current surgical treatments for POP, coercing to revert to colpocleisis. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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