Open retropubic prostatectomy in a patient with bladder exstrophy for management of hematuria and urethral discharge - A case report

Juan Sebastian Arroyave; Daniel Wang; Christopher Connors; Francisca Larenas; Fernando Ferrer; Michael Palese

doi:10.1016/j.eucr.2023.102590

Open retropubic prostatectomy in a patient with bladder exstrophy for management of hematuria and urethral discharge - A case report

Urol Case Rep. 2023 Oct 15:51:102590. doi: 10.1016/j.eucr.2023.102590. eCollection 2023 Nov.

Authors

Juan Sebastian Arroyave¹, Daniel Wang¹, Christopher Connors¹, Francisca Larenas¹, Fernando Ferrer¹, Michael Palese¹

Affiliation

¹ Department of Urology, Icahn School of Medicine at Mount Sinai, Gustave L. Levy Place, New York, NY, 10029, USA.

Abstract

Bladder exstrophy (BE) is a rare congenital disorder causing bladder and urethral malformation due to an abdominal wall embryological defect. Traditionally, BE had a poor life expectancy, but advances now offer a normal lifespan. A 57-year-old male with BE history and ureterosigmoidostomy repair presented with intractable hematuria, urethral discharge, and recurrent prostatic infections. He underwent retropubic subtotal prostatectomy without major complications, resolving urinary symptoms. Advances in BE management extend patient lifespans. This case demonstrates successful surgical management of hematuria and urethral discharge through radical prostatectomy in an adult with a history of BE.

Keywords: Bladder exstrophy; Case report; Hematuria; Prostatectomy; Urethral discharge.

Publication types

Case Reports