Renal dysfunction due to advance pelvic organ prolapse

Uterovaginal prolapse is the downward descent of the pelvic organs, resulting in protrusion of the vagina, uterus, bladder or rectum. The association between POP and hydronephrosis has been shown by various studies, but severe hydronephrosis that leads to renal dysfunction is rarely seen. We report the case of a 70 year old female with massive vaginal prolapse and chronic renal impairment. She presented with urinary tract infection (UTI) and raised creatinine levels of 4.5mg/dl. After the treatment of UTI, we surgically managed to treat her obstructive symptoms. After surgery her creatinine levels dropped to 2.0mg/dl but chronic renal failure persisted. Advanced stage prolapsed may damage renal function if left untreated. Timely diagnosis and management may help to prevent irreversible damage to kidneys.