Complete bladder duplication presenting in adulthood: A case report on reconstructive technique and reflections on translational urology in refugees

Introduction and aim of study The bladder-Exstrophy-Epispadias (BEEC) complex is a spectrum congenital malformations with many variations. A never operated political refugee BEEC was referred to our center for management upon arrival in Europe. Our report the technique outcomes on adult, highlighting importance transitional urologic care adult patients. Materials methods 27-year old female patient complete incontinence since birth by General practitioner from who suspected BEEC. Upon further investigation, an exstrophic bladder blind ending ureteral orifices urethral meatus caudal plate were highlighted. second non-exstrophic two orthotopic ureters demonstrated, thereby duplication sagittal plane diagnosed, presenting wide-open neck 7 cm pubic diastasis, causing she initially for. With supine position, laparotomy incision done excision umbilical scar. dissected caudally. As it presents good detrusor quality, decision taken use as ventral inlay augment bladder. Mitchell-type reconstruction performed classical fascia sling wrapped around increase continence mechanism given very wide diastasis. Given risk hyper-continence, interposition continent Mitrofanoff-type vesicostomy additionally realized. Genital achieved. Results Over 1 year post operatively, completely dry, can holp up 250ml between catheterization performs five times per day once at night. No post-operative complications observed. Conclusion case one rare urological condition like exstrophy presented, illustrating challenges refugees Europe implicates terms surgery regarding multidisciplinary approach highly important, demonstrating care.