Complete bladder eversion concurrent with total uterine prolapse

Complete eversion of the urinary bladder is rare, and a case with concurrent total uterine prolapse is an extremely rare problem. A 75-year-old multiparous, postmenopausal female presented with two huge masses protruding from the vagina. Total transurethral eversion and concurrent uterine procidentia were noted. Manual reduction of the bladder, vaginal hysterectomy, suprapubic cystostomy, and urethral closure were performed under general anesthesia. The neck of the bladder was reinforced with retropubic prolene mesh to prevent recurrence. The patient was well, with no eversion, prolapse of bladder, or other pelvic organ prolapse at 6 months follow-up.