[Urologic complications in genital prolapse in women]

With the help of a large number of patients of the gynaecological hospital of Berlin University is demonstrated that with increasing genital descent incontinences of urine more infrequently appear, infections and cases of urinary stasis, however, more frequently. The causes of this are shown. In urinary incontinence must always be thought of the fact that apart from the urethral occlusion insufficiency also a pseudostress incontinence, urge-incontinence or overflow incontinence are possible. - infections of the urinary tract demand prophylactic as well as aimed therapeutic consequences. - Functional disturbances of the kidneys and of the upper urinary tract can nowadays be demonstrated early and carefully by means of the isotope nephrography. The indication to chromocytoscopy and urography is thus further restricted in descent and prolapse. Symptoms of renals insufficiency were observed in 15% of the prolapse diseases. Gynaecologists should more frequently consult nephrologists. On the other hand, in renal insufficiency of older women nephrologists should always think of the genital prolapse as a possible cause.