[Genital prolapse and ureteropelvic distension].
In the last 110 cases of genital prolapse examined, IVU formed part of the prior urological investigation. 14 cases of ureteropelvic distension were thus discovered (13.6% of cases). In ten cases the prolapse was sufficiently largee as to exterioris the uterus or bring it to of the vulva. In 13 cases out of 15 a larg cystocoele was visible at the vulva with a full bladder. The precise urological consequences of these prolapses was greater than had been expected: 13 cases of incomplete vesical retention, 4 of unilateral ureteropelvic distension and 10 bilateral, including 3 only symmetrical. Bilateral high distension was in general associated with a large cystocoele. Severe renal insufficiency was seen in only one case, and 5 moderate elevations in blood urea, in 5 cases. The mechanism of such ureteropelvicalyceal distension is not clear, but the prolapse is directly responsible, since mechanical (insertion of a pessary) or surgical reduction of the prolapse restores the upper excretory tract to normal. Renal function recovered all the more rapidly when the prolapse had been present for a shorter time.
D000368:Aged; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology; D010570:Pessaries; D011859:Radiography; D001745:Urinary Bladder Diseases / Q000209:etiology; D014552:Urinary Tract Infections / Q000209:etiology; D014570:Urologic Diseases / Q000209:etiology*; D014591:Uterine Diseases / Q000150:complications*; D014596:Uterine Prolapse / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy
Prolapsus génitaux et distension urétéropyélique.