Piao-Piao Ye1, Xiao-Jian Yan1,2, Yasmeen Bano3,4, Hong-Qin Zhao1, Feng-Feng Xie5, Fang-Yi Zhang3, Yu-Feng Wang3, Hui Xie3, Hai-Hong Jiang6,7. 1. Department of Gynecology, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou, China. 2. Center for Uterine Cancer Diagnosis & Therapy Research of Zhejiang Province, Hangzhou, China. 3. Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou, China. 4. Department of Clinical Research, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou, China. 5. Department of Obstetrics, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou, China. 6. Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou, China. jianghh.md@foxmail.com. 7. Department of Clinical Research, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou, China. jianghh.md@foxmail.com.
Abstract
BACKGROUND: The prolapse of a ruptured and extruded bladder after vaginal hysterectomy is rare in clinical practice. We report the case of a significant mass that prolapsed from the vagina after a vaginal hysterectomy in a multiparous postmenopausal woman. CASE PRESENTATION: A 67-year old multiparous postmenopausal Chinese woman was found to have a significant mass extruding from the vagina after a vaginal hysterectomy. The mass was a ruptured and everted bladder, and the diagnosis was confirmed after physical and imaging examinations and urethral catheterization. The patient underwent an emergency operation for mass reduction, bladder repair, and partial colpocleisis under general anesthesia. She recovered without prolapse or urinary drainage complications after 35 months of follow-up. CONCLUSIONS: The present case serves as a guide for the management of patients with pelvic organ prolapse. The condition of patients should be carefully evaluated before surgery, and individualized operation should be performed. Careful postoperative follow-up is crucial for the timely exclusion of complications, especially in elderly patients with persistently increased abdominal pressure.
BACKGROUND: The prolapse of a ruptured and extruded bladder after vaginal hysterectomy is rare in clinical practice. We report the case of a significant mass that prolapsed from the vagina after a vaginal hysterectomy in a multiparous postmenopausal woman. CASE PRESENTATION: A 67-year old multiparous postmenopausal Chinese woman was found to have a significant mass extruding from the vagina after a vaginal hysterectomy. The mass was a ruptured and everted bladder, and the diagnosis was confirmed after physical and imaging examinations and urethral catheterization. The patient underwent an emergency operation for mass reduction, bladder repair, and partial colpocleisis under general anesthesia. She recovered without prolapse or urinary drainage complications after 35 months of follow-up. CONCLUSIONS: The present case serves as a guide for the management of patients with pelvic organ prolapse. The condition of patients should be carefully evaluated before surgery, and individualized operation should be performed. Careful postoperative follow-up is crucial for the timely exclusion of complications, especially in elderly patients with persistently increased abdominal pressure.
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