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Year : 2021  |  Volume : 13  |  Issue : 3  |  Page : 305-307

Pelvic organ prolapse in a woman with previous mitrofanoff operation: Management of a case

1 Department of Obstetrics and Gynecology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India
2 Department of Urology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India

Correspondence Address:
Prof. Gowri Dorairajan
Department of Obstetrics and Gynecology, 2nd Floor, Women and Child Block, JIPMER, Dhanvantari Nagar, Puducherry - 605 006
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DOI: 10.4103/UA.UA_114_20

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Mitrofanoff operation or vesico-appendicostmy is a continent conduit operation performed for intractable incontinence. The long-term complications reported in the literature are related to the stoma. Pelvic organ prolapse among women who have undergone this surgery is not reported earlier. A woman of 27 years of age presented with uterovaginal prolapse. She had sustained bladder neck transection following a road traffic accident at 16 years of age. The same was primarily repaired but incontinence had remained. Many standard operations for incontinence were performed. Finally, Mitrofanoff operation was carried out 9 years back because of persisting intractable incontinence. She got married and had two uneventful vaginal deliveries 5 and 2 years back. There was supravaginal elongation of the cervix with a rectocele. After counseling Fothergills operation with laparoscopic ligation was performed. The challenges and details of the management of the case are highlighted.

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