Skip to main content
SpringerLink
Log in

Complete transurethral bladder eversion 3 months after hemipelvectomy

  • Case Report
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

A 46-year-old white female underwent a left hemipelvectomy for chondrosarcoma. She presented with total incontinence and a bulging vaginal mass. Exam confirmed complete transurethral bladder eversion that was addressed with transvaginal multilayer bladder neck closure and suprapubic tube placement. Eventually she underwent abdominal hysterectomy, mesh sacral colpopexy, and catheterizable stoma creation. Patient is continent of urine 3 months postoperatively. We present the first reported case of bladder eversion after hemipelvectomy and propose possible pathophysiologic mechanisms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Chancellor MB, Erhard MJ, Kiilholma PJ, Karasick S, Rivas DA (1994) Functional urethral closure with pubovaginal sling for destroyed female urethra after long-term urethral catheterization. Urol 43(4):499–505

    Article  CAS  PubMed  Google Scholar 

  2. Colleselli K, Stenzl A, Eder R, Strasser H, Poisel S, Bartsch G (1998) The female urethral sphincter: a morphological and topographical study. J Urol 160:49–54

    Article  CAS  PubMed  Google Scholar 

  3. Hollabaugh RS Jr, Steiner MS, Sellers KD, Samm BJ, Dmochowski RR (2000) Neuroanatomy of the pelvis: implications for colonic and rectal resection. Dis Colon Rectum 43(10):1390–1397

    Article  PubMed  Google Scholar 

  4. Blaivas JG, Barbalias GA (1983) Characteristics of neural injury after abdomino-perineal resection. J Urol 129:84–87

    CAS  PubMed  Google Scholar 

  5. Chang PL, Fan HA (1983) Urodynamic studies before and/or after abdominoperineal resection of the rectum for carcinoma. J Urol 130:948–951

    CAS  PubMed  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Department of Urology, The Ohio State University Medical Center, 3620 Cramblett Hall, 456 West 10th Avenue, Columbus, OH, 43210, USA

    Gregory Lowe & Subbarao Mandalapu

  2. Department of Urology, The Ohio State University Medical Center, 3128 Cramblett Hall, 456 West 10th Avenue, Columbus, OH, 43210, USA

    Jason Gilleran

Authors
  1. Gregory Lowe
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Subbarao Mandalapu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jason Gilleran
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jason Gilleran.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lowe, G., Mandalapu, S. & Gilleran, J. Complete transurethral bladder eversion 3 months after hemipelvectomy. Int Urogynecol J 21, 255–257 (2010). https://doi.org/10.1007/s00192-009-0950-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-009-0950-6

Keywords

Search

Navigation