{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T15:05:09Z","timestamp":1785769509598,"version":"3.56.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction &amp; importance:<\/jats:title>\n                    <jats:p>Bladder exstrophy epispadias complex (BEEC) is a rare congenital midline malformation defect which requires complex, staged reconstruction of the bony pelvis and the genitourinary tract.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 26-year-old G3SA2 with previously reconstructed bladder exstrophy presented at 16 weeks +5 days gestation with severe bilateral hydronephrosis and inability to self-catheterize her Mitrofanoff diversion. She had bilateral nephrostomy tubes placed for the duration of pregnancy. Her pregnancy course was further complicated by recurrent pyelonephritis and progressive pelvic organ prolapse, culminating in cervical prolapse and concerns for uterine incarceration at 31 weeks. Given the complexity of her presentation, she was transferred from her rural community to a tertiary center and remained an inpatient throughout her third trimester.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Multidisciplinary planning involving obstetrics, maternal-fetal medicine, urology, and pediatrics led to the decision for an elective preterm caesarean section to minimize maternal morbidity. A healthy female infant was delivered without intraoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Bladder exstrophy is a rare condition; however, advances in reconstructive surgery have enabled female patients to achieve longer life expectancies and consider pregnancy during their reproductive years. Such pregnancies are associated with specific antenatal and intraoperative challenges, necessitating a multidisciplinary team approach to ensure safe and timely delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111833","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T22:17:51Z","timestamp":1755555471000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of pregnancy in a patient with previous surgical repair of classic bladder exstrophy"],"prefix":"10.1097","volume":"135","author":[{"given":"Tina","family":"Gao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fariba","family":"Mohtashami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Oakes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"6","key":"R1-32-20260803","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1002\/bdra.20557","article-title":"Bladder exstrophy- Epispadias complex","volume":"85","author":"Ludwig","year":"2009","journal-title":"Birth Defects Res. A Clin. Mol. Teratol"},{"key":"R2-32-20260803","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s11934-013-0332-y","article-title":"Modern Management of Bladder Exstrophy Repair","volume":"14","author":"Inouye","year":"2013","journal-title":"Curr. Urol. Rep"},{"issue":"4","key":"R3-32-20260803","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.jpurol.2010.01.015","article-title":"Educational article: The Mitrofanoff procedure","volume":"6","author":"Farrugia","year":"2010","journal-title":"J. Pediatr. Urol"},{"issue":"9","key":"R4-32-20260803","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1046\/j.1464-410X.2003.04244.x","article-title":"Urogynaecological and obstetric issues in women with the exstrophy-epispadias complex","volume":"91","author":"Mathews","year":"2003","journal-title":"BJU Int"},{"issue":"7","key":"R5-32-20260803","doi-asserted-by":"crossref","first-page":"1707","DOI":"10.1007\/s00192-021-04856-1","article-title":"Outcomes of pregnancy and delivery in women with continent lower urinary tract reconstruction: systematic review of the literature","volume":"32","author":"Bey","year":"2021","journal-title":"Int. Urogynecol. J"},{"issue":"6","key":"R6-32-20260803","doi-asserted-by":"crossref","first-page":"496.e1","DOI":"10.1016\/j.ajog.2012.03.016","article-title":"Reproductive outcomes in women with classic bladder exstrophy: an observational cross-sectional study","volume":"206","author":"Deans","year":"2012","journal-title":"Am. J. Obstet. Gynecol"},{"issue":"4","key":"R7-32-20260803","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpurol.2015.04.019","article-title":"Successful pregnancy in patients with exstrophy-epispadias complex: a University of Washington experience","volume":"Aug 11","author":"Dy","year":"2015","journal-title":"J. Pediatr. Urol"},{"key":"R8-32-20260803","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1111\/j.1471-0528.1958.tb08591.x","article-title":"Ectopia vesicae and split pelvis","volume":"65","author":"Clemetson","year":"1958","journal-title":"BJOG"},{"issue":"7","key":"R9-32-20260803","doi-asserted-by":"crossref","DOI":"10.1046\/j.1464-410X.2003.04465.x","article-title":"Pregnancy after lower urinary tract reconstruction for congenital abnormalities","volume":"92","author":"Greenwell","year":"2003","journal-title":"BJU Int"},{"issue":"5","key":"R10-32-20260803","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1590\/S1677-55382011000500006","article-title":"Bladder exstrophy: reconstructed female patients achieving normal pregnancy and delivering normal babies","volume":"37","author":"Giron","year":"2011","journal-title":"Int. Braz. J. Urol"},{"key":"R11-32-20260803","article-title":"Revised surgical CAse REport (SCARE) guideline: an update for the age of artificial intelligence","volume":"10","author":"Kerwan","year":"2025","journal-title":"Premier Journal of Science"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225010193?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225010193?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2025.111833","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T14:14:14Z","timestamp":1785766454000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2025.111833"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111833","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-06-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}