This article was originally published here
Asian J Surg. 2021 Nov 29:S1015-9584(21)00661-8. doi: 10.1016/j.asjsur.2021.10.020. Online ahead of print.
Bladder exstrophy is a rare birth defect in which the bladder develops outside the fetus. Without treatment, patients with bladder exstrophy may suffer incontinence. In addition, these patients are at a risk of sexual dysfunction and bladder cancer. Most patients with bladder exstrophy have been surgically treated in childhood, while the treatment for adults is rarely reported. A 36-year-old male patient presented with bladder exstrophy and pelvic defect. Because of the poor economic status of the patient and his inability to afford the high medical costs, the treatment strategy was to perform cystectomy and cutaneous ureterostomy. This case shows that cystectomy and cutaneous ureterostomy can be used as an effective surgical treatment for adult bladder exstrophy, especially for patients from low-income and underprivileged families.