Abstract
This report presents our experience in performing prolapse repair after anterior exenteration. The patient had a history of invasive bladder cancer and underwent a robotically assisted laparoscopic anterior exenteration with extended bilateral pelvic lymph node dissection and creation of an Indiana pouch continent diversion. Her pelvic organ prolapse progressed over time despite multiple pessary fittings. She eventually decided to proceed with pelvic reconstructive surgery 6 years after her cancer surgery. She underwent a successful vaginal native tissue reconstruction with uterosacral ligament suspension, posterior repair and reconstruction of the anterior compartment. The patient has been followed for 16 months without recurrent prolapse. Vaginal native tissue pelvic reconstruction is feasible in a patient with a history of pelvic exenteration.
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References
Stav K, et al. Transvaginal pelvic organ prolapse repair of anterior enterocele following cystectomy in females. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(4):411–5.
Graefe F, Beilecke K, Tunn R. Vaginal vault prolapse following cystectomy: transvaginal reconstruction by mesh interposition. Int Urogynecol J. 2013;24(8):1407–9.
Zimmern PE, Wang CN. Abdominal Sacrocolpopexy for repair of pelvic organ prolapse after radical cystectomy. Female Pelvic Med Reconstr Surg. 2019;25(3):218–21.
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Chung: Project development. Data collection. Manuscript writing.
Edrosa: Project development. Data collection. Video creation.
Wakabayashi: Project development. Manuscript writing.
Dellinger: Project development. Data collection.
Lee: Project development. Data collection.
Chan: Project development. Data collection.
Han: Project development. Data collection. Manuscript writing.
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Chung, C.P., Edrosa, E., Wakabayashi, M.T. et al. Prolapse repair after anterior exenteration. Int Urogynecol J 32, 1037–1038 (2021). https://doi.org/10.1007/s00192-020-04465-4
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DOI: https://doi.org/10.1007/s00192-020-04465-4