Delivery in a Female Bladder Exstrophy Patient With Ileal W Pouch Continent Cutaneous Stoma

Yevri Zulfiqar; Etrivel Myh; Yusrawati Yusrawati; Joserizal Serudji; Irfan Wahyudi; Arry Rodjani

doi:10.3889/oamjms.2022.8427

Authors

Yevri Zulfiqar Department of Surgery, Division of Urology, Faculty of Medicine, Andalas University, Padang, West Sumatra, Indonesia
Etrivel Myh Department of Surgery, Division of Urology, Faculty of Medicine, Andalas University, Padang, West Sumatra, Indonesia
Yusrawati Yusrawati Department of Obstetrics Gynecology, Faculty of Medicine, Andalas University, Padang, West Sumatra, Indonesia
Joserizal Serudji Department of Obstetrics Gynecology, Faculty of Medicine, Andalas University, Padang, West Sumatra, Indonesia
Irfan Wahyudi Department of Urology, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia
Arry Rodjani Department of Urology, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8427

Keywords:

Bladder exstrophy, Adult female, Pregnancy

Abstract

Propose: To deliver a case report of female bladder exstrophy patients who experienced pregnancy until the birth process.

Methods: A 28-year-old woman with a history of bladder exstrophy, which received inadequate treatment during childhood, had bladder shrinkage and uterine prolapse. The patient underwent reconstruction of continent cutaneous stoma and sacrocolpopexy with mesh in her adulthood. She achieved complete continence by intermittent self-catheterization and gained a better quality of life. She later got married and became pregnant. Pregnancy monitoring was done to evaluate the condition of the patient and her fetus. A collaborative team was built to discuss the best option for delivering the procedure. At 38–39 weeks of gestational age, an elective cesarian section was performed to deliver the baby.

Results: Despite having a greater risk of complications, a woman with a history of bladder exstrophy could undergo pregnancy and give birth. The choice of delivery, either vaginal or cesarean section, is feasible for delivery.

Conclusions: An adult female with bladder exstrophy underwent pregnancy and gave birth. Prior surgery and increased risk of obstetrical complications must be considered.

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