[Urologic consequences of severe genital prolapse]

From three observations, the authors analyse the ureteric dilatation and genital prolapse association from an anatomo-clinic point of view. The bladder-base displacement situated in the vaginal prolapse and the resulting very sharp angle formed by the terminal ureter portion are enough to explain the pathogenesis of the observed urinary lesions. The repercussions of advanced prolapses upon upper urinary tracts are rarely mentioned in literature. The three reported clinic cases are absolutely demonstrative: for every one, the major uretero pyelectasis is associated with a progressive renal insufficiency. Authors insist upon urologic symptoms quick regression after a prolapse cure. This correction is made either by putting a pessary, either by a surgical cure unless the risk should be too important for the patient.