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Ureteric obstruction associated with uterine prolapse

W Gregoir, C C Schulman, M Chantrie

    European Urology
    |January 1, 1976
    PubMed
    Summary

    Uterine prolapse can cause ureteric obstruction through two distinct stages, involving ureteric stretching and bladder displacement. Urographical evaluation is crucial for diagnosing these urinary tract complications.

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    Area of Science:

    • Urology
    • Gynecology
    • Medical Imaging

    Background:

    • Uterine prolapse is a common condition affecting women's pelvic health.
    • Urinary tract complications, including ureteric obstruction, can occur secondary to pelvic organ prolapse.
    • Understanding the mechanisms of ureteric obstruction in this context is essential for patient management.

    Purpose of the Study:

    • To describe the clinical, radiological, endoscopic, and surgical findings in 14 patients with uterine prolapse and ureteric obstruction.
    • To elucidate the sequential mechanisms leading to ureteric dilatation and obstruction in the setting of uterine prolapse.

    Main Methods:

    • Retrospective review of 14 cases with uterine prolapse and ureteric obstruction.
    • Analysis of clinical presentations, radiological (urographical) findings, endoscopic examinations, and surgical outcomes.
    • Correlation of anatomical changes with the observed stages of ureteric obstruction.

    Main Results:

    • Ureteric obstruction in uterine prolapse progresses in two stages.
    • Stage 1 involves gradual, fusiform dilatation due to terminal ureteric stretching.
    • Stage 2 features caudal and posterior displacement of the trigone and bladder base, causing ureteric rotation and acute obstruction.

    Conclusions:

    • Ureteric obstruction associated with uterine prolapse is a complex process with distinct mechanistic stages.
    • Ureteric dilatation is a significant indicator of underlying uterine prolapse.
    • Urographical evaluation is vital for identifying and managing ureteric complications in patients with uterine prolapse.

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