Pelvic Organ Prolapse and Pregnancy in the Female Bladder Exstrophy Patient

AbstractPurpose of ReviewClassic 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 FindingsContemporary 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 ob stetrics and urologic surgery.SummaryThis review encapsulates contemporary concepts of etiology, prevalence, and management of POP and pregnancy in the adult female BE patient.
Source: Current Urology Reports - Category: Urology & Nephrology Source Type: research