Uterine prolapse and urinary tract obstruction

Stabler, J

doi:10.1259/0007-1285-50-595-493

Cited by 21 publications

(4 citation statements)

References 6 publications

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“…In 1930s, the association of fatal uremia with complete prolapse of uterus was recognized by Frank RT et al 2 Following that there have been multiple studies that have described the association of HUN with POP. 3,4 However, there is insufficient data on the prevalence and risk factor for development of HUN in POP due to lack of well-designed prospective cohort study with appropriately large sample.…”

Section: Introductionmentioning

confidence: 99%

Hydroureteronephrosis in women with pelvic organ prolapse: a prospective cohort study

Kumari

Ebenezer

Salomi

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Pelvic organ prolapses (POP) is a common problem in women. The prevalence of POP increase with age. The true prevalence and risk factor for developing hydroureteronephrosis (HUN) in women with pelvic organ prolapse is still unclear due to lack of prospective studies on sufficiently large cohorts. This prospective study was done to study the prevalence of HUN in women with POP and to identify the risk factors for developing HUN.Methods: In this prospective observational study 219 patients were recruited for surgical repair for pelvic organ prolapse for 2 years. Preoperatively, all patients had transabdominal scan to assess the uterus, adnexa and to look for Hydroureteronephrosis (HUN). Women with presence of HUN were followed postoperatively look for the resolution of HUN.Results: The prevalence of bilateral HUN was 6.85%. The mean age of women with HUN ranged from 51-69 years. Diabetes and hypertension were significant risk factor for development of HUN (OR 4.70, 95% CI -1.59-13.88 and OR 3.72, 95% CI- 1.23-11.1 respectively). There was a statistically significant correlation between chronic kidney disease and HUN. (OR 1 with 95%: CI 9.49-30.42). The correlation between stage of pelvic organ prolapse and HUN was not statistically significant (p = 0.062). There was a statistically significant correlation between the duration (2years -15 years) of POP to HUN. (OR 0.233, 95%0.13-0.419). Patients were followed up post operatively for resolution of HUN. HUN resolved in 9 women (60%) and persisted in 6 (40%).Conclusions: The prevalence of bilateral HUN in women with pelvic organ prolapse was 6.8%. Presence of hypertension, diabetes and chronic kidney disease was a risk factor for HUN. HUN resolved in 60% of women after pelvic reconstructive surgery.

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Section: Introductionmentioning

confidence: 99%

Hydroureteronephrosis in women with pelvic organ prolapse: a prospective cohort study

Kumari

Ebenezer

Salomi

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…Most of the literature available is related with hydronephrosis in foetuses, neonates and children and pregnant women (10). Most of the studies in adults are case-reports or concerned only with diagnostic aspect and as such there is no comprehensive study highlighting the clinical profile, aetiology and management of hydronephrosis in adults only (11)(12). In view of this void in literature, the present study was planned in which in order to maintain the exclusiveness, paediatric age group and pregnant women were excluded.…”

Section: Introductionmentioning

confidence: 99%

A Clinico- Epidemiological Study of Hydronephrosis at Era`s Lucknow Medical College , Lucknow

Bhushan¹,

Kumar²,

Bhat³

2017

EJMR

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Hydronephrosis is defined as aseptic distension of the renal calyces and pelvis with urine as a result of partial obstruction of the outflow of urine. It is a clinical condition which is caused by dilatation of the renal collecting system most frequently caused by incomplete or complete obstruction. Although this condition is quite common yet its incidence and prevalence, aetiology, diagnosis and management is less commonly reported in literature especially in context with adults and non-pregnant women. This prospective study was conducted to evaluate the etiology, classify causes of hydronephrosis and to study common clinical presentation of Hydronephrosis. hydronephrosis was seen as a highly male dominant disease with renal calculi as the major aetiology and BPH and VUR being age-associated risk factors. Aetiology based management of hydronephrosis yielded good outcome. The present study is perhaps the first detailed clinco-pathological profile of hydronephrosis.

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“…These may include urinary tract infections, urinary incontinence, hydronephrosis and kidney dysfunction. It also could cause chronic renal failure (CRF), acute renal failure (ARF) and end stage renal disease (ESRD) [6][7][8][9][10][11].…”

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confidence: 99%

Renal Failure in Pelvic Organ Prolapse

Spinu¹,

Bratu²,

Bumbu³

et al. 2019

Rev. Chim.

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Pelvic organ prolapse (POP) is the aberrant herniation or descent of the pelvic units from their regular sites or their normal location in the pelvis. The pelvic organs that may be interested include the vaginal apex or uterus, anterior wall of vagina-cystocele, or posterior wall of vagina-rectocele. A thorough review of the literature using PUB med and SCOPUS databases was conducted We focused on those patients with preoperatory renal failure and on the results that these patients have achieved after surgery regarding this rare complication of pelvic prolapse. Pelvic organ prolapse can be considered an underdiagnosed disease. Many patients fail to present themselves to a doctor due to a false shame feeling. Fortunately renal failure is a rare complication of pelvic organ prolapse, often occurring in patients with asymptomatic or neglected POP. A major proportion of cases are able to recover some of their renal function but for some dialysis remains the only option.

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Uterine prolapse and urinary tract obstruction

Cited by 21 publications

References 6 publications

Hydroureteronephrosis in women with pelvic organ prolapse: a prospective cohort study

Hydroureteronephrosis in women with pelvic organ prolapse: a prospective cohort study

A Clinico- Epidemiological Study of Hydronephrosis at Era`s Lucknow Medical College , Lucknow

Renal Failure in Pelvic Organ Prolapse

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