[Renal insufficiency and severe genital prolapse. 2 cases]

Area of Science:

• Nephrology
• Urogynecology

Background:

• Pelvic organ prolapse, specifically uterine prolapse, can lead to significant complications.
• Renal dysfunction is a potential, though less commonly discussed, consequence of severe uterine prolapse.

Observation:

• Two patients presented with acute renal failure attributed to total uterine procidentia.
• The physical obstruction and potential vascular compromise associated with severe prolapse were implicated in the renal injury.

Findings:

• Surgical correction of the uterine procidentia resulted in measurable improvement in renal function for both patients.
• Despite surgical intervention, a degree of mild chronic renal failure remained, indicating potential for long-term renal impact.

Implications:

• This case series underscores the critical importance of evaluating renal status in patients diagnosed with uterine prolapse.
• Early recognition and management of uterine prolapse may help prevent or mitigate severe renal complications.