Management of bladder exstrophy in an adolescent girl: a case report

  • Ni Made Putri Suastari Department of Radiology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia
  • Ni Nyoman Margiani Department of Radiology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia
  • Kadek Budi Santosa Department of Urology Surgery, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia https://orcid.org/0000-0001-5295-2319
  • Dewa Gde Mahiswara Department of Radiology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia
  • Firman Parulian Sitanggang Department of Radiology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia
  • I Wayan Yudiana Department of Urology Surgery, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia https://orcid.org/0000-0002-6762-2854
Keywords: adolescent, bicornuate uterine, bladder exstrophy, case management

Abstract

Bladder exstrophy (BE) is a very rare congenital abnormality, especially in girls. We reported a 17-year-old girl with protruded bladder and urinary incontinence. Her vaginal orifice appeared stenotic and shifted anteriorly. She had an incomplete labia minora, short perineum, and anterior displacement of the anus. The pelvic radiography showed a pubic diastasis with a manta ray sign, and the ultrasonography examination showed a bicornuate uterus. She had undergone a functional reconstruction surgery with cystectomy, ileal conduit, appendectomy, and vaginoplasty along with the advancement of abdominal flap reconstruction with multiple Z-plasty. Functionally, she was able to urinate through the ileal conduit comfortably, had a regular menstrual cycle with minimal pain, had a wider vaginal canal, and had a smooth blood flow. Aesthetically, she had a good lower abdomen appearance, remained dry, and had an odorless urine. In clinical practice, this rare case report can provide additional knowledge and management of the same cases with effective results.

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Published
2021-08-03
How to Cite
1.
Suastari NMP, Margiani NN, Santosa KB, Mahiswara DG, Sitanggang FP, Yudiana IW. Management of bladder exstrophy in an adolescent girl: a case report. Med J Indones [Internet]. 2021Aug.3 [cited 2024Feb.26];31(1):70-4. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/5249
Section
Case Report/Series