Management of pregnancy and birth in a patient with a history of surgically treated bladder exstrophy

Bladder exstrophy is a rare congenital malformation that consists of external exposure of bladder’s mucosa, ureteral orifices, bladder neck, and urethra, as a consequence of a failed abdomen wall closure. Although the cause of this kind of malformation is unknown, we can distinguish the isolated bladder exstrophy from those associated with other anomalies, especially in the pelvic area, and the diagnosis is mainly made after the birth. The correction of bladder exstrophy anomalies should be performed using different and specific surgeries, allowing people affected by this disease to reach an almost healthy life. In particular, women with corrected bladder exstrophy may obtain a regular sexual activity, and the possibility of getting pregnant. Monitoring this category of patients for the whole pregnancy, delivery and post-partum represent the most critical moments to manage to avoid several complications. In this article, we present the case of a woman that got pregnant after several corrective interventions for bladder exstrophy. Thanks to strict monitoring during pregnancy and good management of the delivery, she had a baby in good condition. Any adverse events were reported during the post-partum.