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Review
. 2009 Feb;113(2 Pt 2):496-501.
doi: 10.1097/AOG.0b013e318184ee8b.

Complete eversion of the urinary bladder: presentation, review, and algorithm for management

Carmin M Kalorin  1 , James Belarmino, Badar Mian, Elise De
Affiliations
Review

Complete eversion of the urinary bladder: presentation, review, and algorithm for management

Carmin M Kalorin et al. Obstet Gynecol. 2009 Feb.

Abstract

Background: Complete eversion of the urinary bladder is a rare problem that presents a serious management challenge. Currently no standard treatment recommendations exist for management. We describe our experience with bladder eversion and present an algorithm for treatment.

Case: An elderly, multiparous woman presented with complete bladder eversion after partial colpocleisis. Her bladder was reduced by a combined suprapubic and perineal approach with cystopexy to the anterior abdominal wall.

Conclusion: Multiparous postmenopausal women appear to be at highest risk for complete bladder eversion. External transurethral reduction is sometimes successful, but most cases require laparotomy.

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