AUGS/IUGA Scientific Meeting 2019-Prolapse Surgery After Anterior Exenteration

Prolapse Surgery After Anterior Exenteration

Video Transcription

Video Summary

The video discusses a case of surgical management in a 71-year-old patient who experienced prolapse after anterior exoneration. The patient had a history of muscle-invasive bladder cancer and previously underwent robotic-assisted laparoscopic anterior exoneration, pelvic lymph node dissection, and creation of an Indiana pouch. Over time, her prolapse worsened and she opted for definitive surgical management. Due to the location of her Indiana pouch, an abdominal approach was not recommended, so vaginal pelvic reconstruction was performed using utero-sacral or sacro-spinous ligaments. The surgery was successful, and it is recommended to involve multiple specialties in treatment planning for similar cases. Performing prophylactic apical suspension during initial cancer surgery may help prevent prolapse.

Asset Caption

Eizleayne Edrosa, BS

Keywords

surgical management

prolapse

anterior exoneration

bladder cancer

robotic-assisted laparoscopic