Muir Tristi W, Aspera A Michele, Rackley Raymond R, Walters Mark D
The Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2004 Nov-Dec;15(6):436-8. doi: 10.1007/s00192-004-1204-2. Epub 2004 Aug 17.
Management of gynecologic issues in women with bladder exstrophy is challenging. Congenital pelvic organ prolapse and prolapse-associated pregnancy and delivery are common. The management of prolapse is complicated by the anatomic changes involving the bony pelvis, connective tissue support, pelvic floor, and the length and axis of the vagina. A case of recurrent pelvic organ prolapse successfully managed with a sacral colpopexy and a review of the literature are presented.
膀胱外翻女性妇科问题的管理具有挑战性。先天性盆腔器官脱垂以及与脱垂相关的妊娠和分娩很常见。由于涉及骨盆骨骼、结缔组织支撑、盆底以及阴道长度和轴线的解剖学变化，脱垂的管理变得复杂。本文介绍了一例通过骶骨阴道固定术成功治疗复发性盆腔器官脱垂的病例并对文献进行了综述。
