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[Obstructive uropathy in genital prolapse].

M Arrizabalaga1, T Casanueva, J Benitez

  • 1Servicio de Urología, Hospital Nuestra Señora de Alarcos, Ciudad Real.

Actas Urologicas Espanolas
|July 1, 1990
PubMed
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Severe genitourinary prolapse in elderly patients led to obstructive uropathy, kidney stones, and infections. Delayed diagnosis and treatment highlight the need for better screening and awareness of this rare condition.

Area of Science:

  • Urology
  • Geriatrics
  • Nephrology

Background:

  • Genitourinary prolapse is a condition where pelvic organs descend, potentially causing severe complications.
  • Elderly patients with long-standing genitourinary prolapse may develop obstructive uropathy, lithiasis, and infections.

Observation:

  • Two elderly female patients presented with severe high obstructive uropathy, complicated by kidney stones and infection, due to long-term genitourinary prolapse.
  • These patients had not received prior urological or gynecological examinations that could have prevented these advanced complications.

Findings:

  • The literature review confirmed the rarity of genitourinary prolapse presenting with such severe obstructive uropathy, lithiasis, and infectious complications.
  • Analysis included incidence, etiopathogenic theories, radiological findings, and treatment strategies for this uncommon clinical presentation.

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Implications:

  • This case series underscores the importance of timely urological and gynecological evaluations in elderly women to prevent severe sequelae of genitourinary prolapse.
  • Increased awareness and screening may improve early detection and management of genitourinary prolapse, reducing the incidence of obstructive uropathy and related complications.