Medical Journal of Indonesia Vol. 31 No. 1 2022 FKUI
Case Report/Series Management of Bladder Exstrophy in An Adolescent Girl: A Case Report
Dublin Core
Title
Medical Journal of Indonesia Vol. 31 No. 1 2022 FKUI
Case Report/Series Management of Bladder Exstrophy in An Adolescent Girl: A Case Report
Case Report/Series Management of Bladder Exstrophy in An Adolescent Girl: A Case Report
Subject
adolescent, bicornuate uterine, bladder exstrophy, case management
Description
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.
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.
Creator
Ni Made Putri Suastari, Ni Nyoman Margiani, Kadek Budi Santosa, Dewa Gde Mahiswara, Firman Parulian Sitanggang, I Wayan Yudiana
Source
https://doi.org/10.13181/mji.cr.215249
Date
May 22, 2021
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Ni Made Putri Suastari, Ni Nyoman Margiani, Kadek Budi Santosa, Dewa Gde Mahiswara, Firman Parulian Sitanggang, I Wayan Yudiana , “Medical Journal of Indonesia Vol. 31 No. 1 2022 FKUI
Case Report/Series Management of Bladder Exstrophy in An Adolescent Girl: A Case Report,” Repository Horizon University Indonesia, accessed October 31, 2025, https://repository.horizon.ac.id/items/show/1046.
Case Report/Series Management of Bladder Exstrophy in An Adolescent Girl: A Case Report,” Repository Horizon University Indonesia, accessed October 31, 2025, https://repository.horizon.ac.id/items/show/1046.