End-stage renal failure due to total uterine prolapse

A 64-year-old woman had been diagnosed with uterine prolapse (UP), with a postvoid residual urine volume 4 years previously. In addition, she had had moderate renal dysfunction diagnosed 2 years before presentation. Her serum creatinine was 10.1 mg/dL, and she underwent right double-J stenting and insertion of an intravaginal ring. Pelvic examination revealed third degree UP, and computed tomography showed bilateral hydroureteronephrosis due to the UP. Stenting and the ring did not resolve the bilateral hydroureteronephrosis, and her renal function did not improve. The hydroureteronephrosis resulting from UP was the major cause of end-stage renal failure, and she was maintained on hemodialysis. Reduction of UP is needed before irreversible renal failure occurs.