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Published on: October 12, 2017
Obstructive uropathy associated with uterine prolapse
L J Rudin1, M R Megalli, J K Lattimer
1Squier Urological Clinic, Columbia-Presbyterian Medical Center, New York, New York, USA.
Abstract:
Ninety-five of 252 (38 per cent) patients with uterine prolapse who had excretory urograms were evaluated to determine the presence of ureteral obstruction. Seven of the 95 (7 per cent) had evidence of hydroureteronephrosis attributable to uterine prolapse. Two patients initially had urologic complaints, and 3 of 6 patients demonstrated resolution of the hydroureteronephrosis in post-treatment urograms. The causation of the ureteral obstruction in patients with procidentia is discussed. The need for complete urologic work-up, particularly pre- and post-treatment excretory urogram in patients with uterine prolapse, is emphasized.
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