# A severe case of the bladder inversion treated by total cystectomy and hysterectomy with ileal conduit

## TL;DR

An elderly woman with severe bladder and uterine prolapse underwent complex surgery involving bladder and uterus removal with urinary diversion.

## Contribution

The paper presents a rare case of bladder inversion treated with total cystectomy and ileal conduit in combination with gynecological procedures.

## Key findings

- Bladder inversion combined with Stage IV prolapse was successfully treated with total cystectomy and ileal conduit.
- Surgery without organ preservation was found to be a viable option for managing severe prolapse and bladder inversion.
- The combined gynecological and urological procedures were performed safely in an elderly patient.

## Abstract

Female pelvic organ prolapse (POP) is considered a borderline disease between urology and gynecology and is treated by reconstructive surgery, which restores the organs to their original positions.

An 82‐year‐old woman with bladder and uterine prolapse at POP‐Q Stage IV was treated with an indwelling catheter for voiding dysfunction. Eventually, the catheter has been often spontaneously removed when pelvic organ prolapse occurs, resulting in a diagnosis of bladder inversion. Because of bladder inversion and low bladder capacity at the time of bladder retraction, the patient underwent total cystectomy, combined with total hysterectomy, colpopexy, and posterior colporraphy, and ileal conduit.

The cases of complete bladder and uterine prolapse combined with bladder inversion, total hysterectomy, colpopexy, posterior colporraphy, and ileal conduit were performed safely. Considering urinary function, surgery without organ preservation with urinary diversion may be an option.