Bilateral hydroureter and hydronephrosis causing renal failure due to a procidentia uteri: a case report.
Ayilam Sudhakar, V G Reddi, M Schein, Paul H. Gerst
Abstract
Ayilam Sudhakar, V G Reddi, M Schein, Paul H. Gerst
Abstract
We report a case of complete uterine prolapse that resulted in bilateral hydroureter, hydronephrosis, and renal dysfunction. The nonoperative reduction of the prolapse with a vaginal pessary reversed the obstructive uropathy and ameliorated renal function. The lower urinary tract should be imaged in patients with complete uterine prolapse. If present, obstructive uropathy should be relieved by the reduction of the prolapse before irreversible renal damage occurs.
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We report a case of complete uterine prolapse that resulted in bilateral hydroureter, hydronephrosis, and renal dysfunction. The nonoperative reduction of the prolapse with a vaginal pessary reversed the obstructive uropathy and ameliorated renal function. The lower urinary tract should be imaged in patients with complete uterine prolapse. If present, obstructive uropathy should be relieved by the reduction of the prolapse before irreversible renal damage occurs.
Key concepts: Hydroureter, Obstructive uropathy, Medicine, Hydronephrosis, Pessary, Urology, Urinary system, Surgery