Gynecological lesions and ureterohydronephrosis

Bilateral Moderate Hydroureteronephrosis Due to Uterine Prolapse: Two Case Reports and Review of the Literature

“…The incidence of urinary tract infection may be associated with third-degree uterine prolapse. [8] In our two patients, Cases 1 and 2 had third-degree uterine prolapse. Only Case 1 had urinary tract infection history.…”

“…Hydronephrosis is one of the most serious complications and if left untreated may lead to renal insufficiency. [4][5][6][7][8][9][10][11] The mechanism of renal failure may be related to the obstruction. [8] In our two patients, Cases 1 and 2 uterine prolapses were by incidental finding during admission.…”

“…[1] There were at least 10 reports publishes in the English literature between since 1931. [2][3][4][5][6][7][8][9][10][11][12][13][14] Uterine prolapse and renal dysfunction were found due to long term hydronephrosis in some papers. [4][5][6][7][8][9][10][11] We report two cases of complete uterine prolapse with bilateral moderate hydronephrosis.…”

Obstructive Uropathy from Uterine Prolapse: A Preventable Problem in the Elderly

“…Treatment of the Patient with Uncomplicated Uterine Prolapse is Indicated Uterine prolapse is a very common condition among women of advancing parity (average 4.0) 8 and age (average 72), 9 as both these conditions lead to stretching and laxity of the pelvic floor fascia and musculature. The incidence of uterine prolapse is underestimated.…”

“…Hydroureter occurs with much greater frequency as the prolapse becomes more severe. Klempner 8 demonstrated a 5% incidence of urinary tract obstruction in women with first‐degree prolapse and a 40% incidence in women with procidentia. Obstructive uropathy is a serious complication 10 – 12 and can lead to renal failure, 13 , 14 urosepsis 15 (as in Case 3), and, rarely, death.…”