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Neobladder saving caesarean section in a pregnant woman with congenital bladder exstrophy.

Authors :
Granieri C
D'Ippolito S
Foresta A
Gui B
Foschi N
Esposito G
Scambia G
Source :
Archives of gynecology and obstetrics [Arch Gynecol Obstet] 2025 Jan 31. Date of Electronic Publication: 2025 Jan 31.
Publication Year :
2025
Publisher :
Ahead of Print

Abstract

Purpose: To propose an obstetric management model for patients with congenital bladder exstrophy (BE) and multiple previous surgeries, recognizing the unique anatomical variations of each patient and emphasizing the importance of personalized treatment approaches.<br />Methods: We present the obstetric management and delivery of a 32-year-old pregnant woman with congenital BE, focusing on antenatal anatomical assessment, accurate delivery planning and key surgical steps during an elective caesarean section. Additionally, we conduct a comprehensive review of the current literature to enhance understanding of the reproductive implications associated with this exceptionally rare condition.<br />Results: Following urological magnetic resonance imaging and intraoperative ultrasound, a successful neobladder-saving caesarean section was performed at 37 weeks, resulting in the delivery of a healthy infant with no maternal complications.<br />Conclusion: Obstetric management in women with congenital BE presents unique challenges due to its significant impact on urinary and reproductive functions. Careful delivery planning and antenatal anatomical assessment are crucial for optimizing both maternal and fetal outcomes. A personalized, multidisciplinary approach can help minimize potential complications.<br />Competing Interests: Declarations. Conflict of interest: No relevant conflict of interest to declare. Consent to publish: The patient gave written consent for publication of this study in the journal website, scientific literature websites (such as Pubmed, Sciencedirect, Scoput, etc.) and other applicable sites.<br /> (© 2025. The Author(s).)

Details

Language :
English
ISSN :
1432-0711
Database :
MEDLINE
Journal :
Archives of gynecology and obstetrics
Publication Type :
Academic Journal
Accession number :
39890643
Full Text :
https://doi.org/10.1007/s00404-025-07937-4