title: Bilateral hydronephrosis secondary to cystocele.
abstract: A 75-year-old patient applied to the urology clinic with a cystocele and ultrasonography of urinary tract evidencing bilateral grade III hydronephrosis. She didn't complain about any urination problem. Gynecologic examination showed a marked cystocele throughout its entire extension on the anterior wall of vagina. The excretory urography confirmed the presence of bilateral hydronephrosis and 'narrowing distal ureters.' An anterior colporrhaphy and tension-free vaginal tape procedure were performed without any complication. At the third month of the follow-up, regression in hydronephrosis was observed and there was no urinary complaint. In women presenting dilatation of upper urinary tract, pelvic organ prolapses must be kept in mind and a convenient examination is the key point to rule it out. Unnoticed cases can lead to a wrong diagnosis and redundant surgery.
authors: Department of Urology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey. drtaylanoksay@yahoo.com
authors: Taylan
authors: T
authors: Oksay
authors: Osman
authors: O
authors: Ergun
authors: Erdem
authors: E
authors: Capar
authors: Alim
authors: A
authors: Koşar
mesh_terms: D000368:Aged; D052858:Cystocele / Q000150:complications*; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology*; D014567:Urography