Bilateral hydroureter and hydronephrosis causing renal failure due to a procidentia uteri: a case report.
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.
Sudhakar
A S
AS
Department of Surgery, Bronx-Lebanon Hospital Center, New York 10457, USA.
Reddi
V G
VG
Schein
M
M
Gerst
P H
PH
D000368:Aged; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology*; D010570:Pessaries; D051437:Renal Insufficiency / Q000209:etiology*; D014517:Ureteral Obstruction / Q000209:etiology; D014596:Uterine Prolapse / Q000150:complications* / Q000628:therapy