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Ureteric obstruction due to urine prolapse.

R H Chapman

    British Journal of Urology
    |October 1, 1975
    PubMed
    Summary

    Uterine prolapse can cause ureteric obstruction, a serious condition that can lead to kidney failure. Surgical repair of uterine prolapse effectively treated this obstruction in two reported cases.

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    Area of Science:

    • Urology
    • Gynecology
    • Nephrology

    Background:

    • Uterine prolapse is a condition where pelvic organs descend into or outside the vaginal canal.
    • Ureteric obstruction can lead to severe renal complications, including uremia.
    • The association between uterine prolapse and ureteric obstruction is uncommon but clinically significant.

    Observation:

    • Two cases of ureteric obstruction secondary to uterine prolapse were identified.
    • One patient presented with uremia, indicating advanced renal compromise.
    • Both cases demonstrated significant obstruction of the ureters.

    Findings:

    • Surgical correction of uterine prolapse resolved the ureteric obstruction in both patients.
    • Renal function was restored following the prolapse repair.
    • This highlights the direct mechanical impact of uterine prolapse on the urinary tract.

    Implications:

    • Prompt diagnosis and surgical management of uterine prolapse are crucial in preventing irreversible renal damage.
    • Urologists and gynecologists should consider uterine prolapse in the differential diagnosis of ureteric obstruction, especially in women with relevant symptoms.
    • Effective treatment of uterine prolapse can avert serious urological complications and improve patient outcomes.

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