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[Female urethral stenosis caused by vulvar dystrophy]
P Romero Pérez1, E Schiefenbusch Munne, J J Lobato Encinas
1Servicio de Urología del Hospital de Alicante, Unidad Docente de la Facultad de Medicina, Universidad de Alicante, España.
Archivos Espanoles De Urologia
|May 1, 1990
Summary
A rare case of chronic obstructive uropathy in a 77-year-old patient was caused by urethral stenosis from valvular dystrophy, leading to acute urinary retention. This highlights a rare cause of obstructive uropathy, distinct from common causes like neoplasms.
Area of Science:
- Urology
- Nephrology
- Gynecology
Background:
- Chronic obstructive uropathy can lead to severe renal complications.
- Urethral stenosis is a less common cause of urinary obstruction.
- Valvular dystrophy is a rare etiology for urethral strictures.
Observation:
- A 77-year-old patient presented with acute urinary retention and progressive dysuria.
- Initial suspicion for neoplasm due to age and bilateral hydronephrosis on ultrasound.
- Diagnosis of chronic obstructive uropathy secondary to urethral stenosis from valvular dystrophy was established.
Findings:
- Urethral stenosis secondary to valvular dystrophy as a cause of chronic obstructive uropathy.
- Complete acute urinary retention as a presentation of this rare condition.
- Bilateral hydronephrosis indicating significant obstruction.
Implications:
- This case expands the differential diagnosis for obstructive uropathy in elderly patients.
- Highlights the importance of considering rare urethral pathologies beyond neoplasms.
- Underscores the potential role of gynecological disorders in the etiopathogenesis of female obstructive uropathy, as reviewed in the literature.