Bilateral Hydronephrosis Secondary to Cystocele


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OKSAY T., ERGÜN O., ÇAPAR E., KOŞAR A.

RENAL FAILURE, vol.33, no.5, pp.537-539, 2011 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 33 Issue: 5
  • Publication Date: 2011
  • Doi Number: 10.3109/0886022x.2011.569104
  • Journal Name: RENAL FAILURE
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.537-539
  • Keywords: Cystocele, hydronephrosis, renal failure, anterior colporrhaphy, TVT, PROLAPSE

Abstract

A 75-year-old patient applied to the urology clinic with a cystocele and ultrasonography of urinary tract evidencing bilateral grade III hydronephrosis. She didn't complain about any urination problem. Gynecologic examination showed a marked cystocele throughout its entire extension on the anterior wall of vagina. The excretory urography confirmed the presence of bilateral hydronephrosis and 'narrowing distal ureters.' An anterior colporrhaphy and tension-free vaginal tape procedure were performed without any complication. At the third month of the follow-up, regression in hydronephrosis was observed and there was no urinary complaint. In women presenting dilatation of upper urinary tract, pelvic organ prolapses must be kept in mind and a convenient examination is the key point to rule it out. Unnoticed cases can lead to a wrong diagnosis and redundant surgery.