Wednesday, October 17, 2012

UTERINE PROLAPSE CAUSING OBSTRUCTIVE UROPATHY AND RENAL DYSFUNCTION

UTERINE PROLAPSE

A 55 Y lady presented with features of chronic renal failure. On detailed history she also complained of recurrent uterine prolapse for the past 15 years. On evaluation she had bilateral severe hydroureteronephrosis and renal parenchymal atrophy. Her serum creatinine was - 2.5 mg%.
Cystoscopy showed severe urethral kinking and a grossly trabeculated bladder. RGP revealed B/l severely dilated and tortuous ureters. B/l Double J stents were kept with extreme difficulty, and a vaginal hysterectomy was done. post operative period was uneventful.

Plain CT S/O B/L Gross Hydroureteronephrosis

Plain CT S/O B/L Gross Hydroureteronephrosis

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