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Placenta percreta into the urinary bladder: the importance of the urologist

Humberto Vigil¹, Sender Herschorn¹, Ron Kodama¹, Jon Barrett²

1 Division of Urology, Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
2 Division of Maternal-Fetal-Medicine, Department of Obstetrics and Gynaecology, Sunnybrook Health Science Centre, Toronto, Ontario, Canada
AddresscorrespondencetoDr.HumbertoVigil,Sunnybrook HealthSciencesCentre,SuiteMG-408,2075BayviewAvenue, Toronto, ON M4N 3M5 Canada

Canadian Journal of Urology 2019, 26(2), 9736-9739.

Abstract

The incidence of placenta accreta spectrum is on the rise. The most serious entity within this spectrum is percreta: extension beyond the uterus. The bladder is most commonly involved in these cases and is especially relevant for the urologist. Important sequelae include hemorrhage, massive transfusion, maternal mortality and urinary tract injury. Approaching this disorder as well as associated urinary tract involvement in a standardized and multi-disciplinary fashion significantly improves outcomes and reduces morbidity. Herein, we present a case of complete placenta percreta involving the bladder that was successfully managed with minimal obstetrical and genitourinary morbidity.

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