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[Obstructive anuria secondary to uterine prolapse].
A Rodríguez Alonso1, A González Blanco, M E Cachay Ayala
1Servicios de Urología, Hospital Arquitecto Marcide, Ferrol, A Coruña.
Actas Urologicas Espanolas
|January 2, 2003
Summary
Uterine prolapse can cause obstructive anuria, a rare but serious complication. A ring pessary successfully treated a case of obstructive anuria due to uterine prolapse, offering a non-surgical solution.
Area of Science:
- Urology
- Gynecology
- Nephrology
Background:
- Obstructive uropathy affects 4-80% of patients with uterine prolapse.
- Renal failure and anuria are uncommon but severe complications.
Observation:
- Several theories explain obstructive uropathy in uterine prolapse, including ureteral compression and urethral angulation.
- Intravenous urography is the primary imaging technique.
- Emergency management involves prolapse replacement.
Findings:
- Surgical intervention is the definitive treatment for uterine prolapse-induced obstructive anuria.
- A ring pessary provided a successful non-surgical treatment for obstructive anuria in a high-risk patient.
Implications:
- Pessary insertion offers a viable alternative for high-risk patients unsuitable for surgery.
- This case highlights the importance of considering pessary management for obstructive uropathy in uterine prolapse.