title: Hydronephrosis and utero-vaginal prolapse in postmenopausal women: management and treatment.
abstract: BACKGROUND
  Pelvic organ prolapse is a multifactorial disease. Aim was to evaluate the effect of the whole surgical correction of pelvic floor on hydronephrosis due to severe prolapse.
  
  
  METHODS
  A retrospective case study on 250 patients presenting with severe uterovaginal prolapse was carried out.
  
  
  RESULTS
  Hydronephrosis was found in 32/234 (13.7 %). All patients underwent hysterectomy, vaginal apex axial suspension, posterior and anterior repair, vaginally. Prepubic TICT (Tension free Incontinence Cystocoele Treatment) was done in 38 cases (3 with hydronephrosis). Of the 32/234 (13.7 %) patients with hydronephrosis, 18/32 (56.25%) had complete resolution of hydronephrosis after treatment, 14/32 (43.75%) had a reduction of calico-pyelic dilatation, among them 8 patients had a second degree and 6 a first degree of hydronephrosis.
  
  
  CONCLUSIONS
  Vaginal-hysterectomy, axial apex suspension, anterior and posterior repair resulted in either complete resolution or improvement of hydronephrosis. Prepubic TICT did not interfere on mechanical obstruction and maintained postoperative continence in the event of occult Stress Urinary Incontinence (SUI).
authors.forename: V
authors.initials: V
authors.lastname: Leanza
authors.forename: L
authors.initials: L
authors.lastname: Ciotta
authors.forename: R
authors.initials: R
authors.lastname: Vecchio
authors.forename: G
authors.initials: G
authors.lastname: Zanghì
authors.forename: A
authors.initials: A
authors.lastname: Maiorana
authors.forename: G
authors.initials: G
authors.lastname: Leanza
mesh_terms: D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D017698:Postmenopause; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*