Transvaginal bowel evisceration following robot-assisted rad
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Transvaginal bowel evisceration is a complication that has been found to occur in postmenopausal women in such pelvic surgeries as hysterectomy, uterine prolapse, and proctectomy. There are some risk factors for this complication such as vaginal vault infection, hematoma, early sexual intercourse, steroid use, or increased intra-abdominal pressure. There have been minimal reports of this complication following radical cystectomy. Herein, we present a postmenopausal female who was found to have transvaginal bowel evisceration following robotic-assisted radical cystectomy (RARC). We attribute this complication to a thinned out vaginal wall from previous childbirth, and deviations from normal intrapelvic pressures postoperative...

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