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Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
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Renal dysfunction due to advance pelvic organ prolapse
Lubna Razzak1, Sherjeel Saulat1
1Department of Urology, Tabba Kidney Institute, Karachi, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|November 16, 2021
Summary
Pelvic organ prolapse can cause severe hydronephrosis and kidney damage. Prompt diagnosis and surgical intervention are crucial for managing symptoms and preventing irreversible renal impairment.
Area of Science:
- Urology
- Nephrology
- Gynecology
Background:
- Pelvic organ prolapse (POP) involves the descent of pelvic organs, potentially leading to complications.
- While POP-associated hydronephrosis is known, severe cases impacting renal function are infrequent.
Observation:
- A 70-year-old female presented with massive uterovaginal prolapse and chronic renal impairment.
- She exhibited symptoms of urinary tract infection (UTI) and elevated creatinine levels (4.5 mg/dL).
Findings:
- Following UTI treatment, surgical management addressed obstructive symptoms.
- Post-surgery, creatinine levels improved to 2.0 mg/dL, though chronic renal failure persisted.
Implications:
- Untreated advanced POP can significantly impair renal function.
- Timely diagnosis and intervention are vital to prevent irreversible kidney damage.
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