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Current Urology Reports

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01-03-2018 | Female Urology (L Cox, Section Editor)

Pelvic Organ Prolapse and Pregnancy in the Female Bladder Exstrophy Patient

Author: Melissa R. Kaufman

Published in: Current Urology Reports | Issue 3/2018

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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Title: Pelvic Organ Prolapse and Pregnancy in the Female Bladder Exstrophy Patient
Author: Melissa R. Kaufman
Publication date: 01-03-2018
Publisher: Springer US
Published in: Current Urology Reports / Issue 3/2018
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-018-0767-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pelvic Organ Prolapse and Pregnancy in the Female Bladder Exstrophy Patient

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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