DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20171453

Pregnancy in case of exstrophy of bladder

Kinnari Vilaschandra Amin, Namrata Tiwari, Anchal Goel, Anahita R. Chauhan

Abstract


Bladder exstrophy or ectopia vesica is an unusual congenital anomaly which exists in the spectrum of the exstrophy- epispadias complex. It most commonly involves protrusion of the urinary bladder due to defect in the lower abdominal wall. It has variable presentation and often includes abnormalities of the pelvic floor, bony pelvis and genitalia. Patients undertaking pregnancy after surgical repair of such an anomaly are rare. Planned Cesarean section at term is considered the appropriate mode of delivery. We present a case of 21-year-old patient who had uneventful preterm vaginal delivery following surgical repair of bladder exstrophy in childhood.


Keywords


Bladder exstrophy, Pregnancy

Full Text:

PDF

References


Giron AM, Passerotti CC, Nguyen H, da Cruz JA, Srougi M. Bladder exstrophy: reconstructed female patients achieving normal pregnancy and delivering normal babies. Int Braz J Urol. 2011;37:605-610.

Castilla EE, Mastroiacovo P. Very rare defects: what can we learn? Am J Med Genet C Semin Med Genet. 2011;157C:252-61.

Siffel C, Correa A, Amar E, Bakker MK, Bermejo-Sánchez E, Bianca S et al. Bladder exstrophy: an epidemiologic study from the International clearinghouse for birth defects surveillance and research, and an overview of the literature. Am J Med Genet C Semin Med Genet. 2011;157C:321-32.

Ludwig M, Utsch B, Reutter H. Genetic and molecular biological aspects of the bladder exstrophy-epispadias complex (BEEC). Urologe A. 2005;44:1037-8,1040-4.

Ludwig M, Ruschendorf F, Saar K, Hübner N, Siekmann L, Boyadjiev SA et al. Genome-wide linkage scan for bladder exstrophy-epispadias complex. Birth Defects Res A Clin Mol Teratol. 2009;85:174-8.

Gargollo PC, Borer JG. Contemporary outcomes in bladder exstrophy. Curr Opin Urol. 2007;17:272-80.

Bartelink LR, Feitz WF, Kluivers KB, Withagen MI, Vierhout ME. Surgical treatment of uterine prolapse in women with bladder exstrophy: report of two cases with modified prolift procedure. Int Urogynecol J. 2011;22:889-91.

Wittmeyer V, Aubry E, Liard-Zmuda A, Grise P, Ravasse P, Ricard J et al. Quality of life in adults with bladder exstrophy-epispadias complex. J Urol. 2010;184:2389-94.

Espinosa-Chavez GB, Urbina-Bernal LC, Davila-Garza A, Carrillo-Trevino S, Madrigal-Medina R, Garcia-Rodriguez MA et al. Pregnancy in a patient with reconstructed bladder exstrophy with osteotomy, continent reservoir with the Mitrofinoff principle, vaginoplasty and uterus didelphys. Rev Mex Urol. 2012;72(3):145-9.

Ebert AK, Falkert A, Hofstadter A, Reutter H, Rosch WH. Pregnancy management in women within the bladder-exstrophy-epispadias complex (BEEC) after continent urinary diversion. Arch Gynecol Obstet. 2011;284:1043-6.

Greenwell TJ, Venn SN Creighton S, Leaver RB, Woodhouse CR. Pregnancy after lower urinary tract reconstruction for congenital abnormalities. BJU Int. 2003;92:773-7.

Deans R, Banks F, Liao L, Wood D, Woodhouse C, Creighton SM. Reproductive outcomes in women with classic bladder exstrophy: an observational cross-sectional study. Am J Obstet Gynecol. 2012;206:496.e1-6.