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Incidence of hydronephrosis in severe uterovaginal or vault prolapse.
- Source :
-
Singapore medical journal [Singapore Med J] 2013 Mar; Vol. 54 (3), pp. 160-2. - Publication Year :
- 2013
-
Abstract
- Introduction: We aimed to evaluate the local incidences of hydronephrosis and renal impairment in the presence of severe uterovaginal or vault prolapse, and determine whether treatment by surgery or ring pessary resulted in the resolution of hydronephrosis in these patients.<br />Methods: This was a retrospective case study of 121 patients who presented with severe uterovaginal or vault prolapse. All patients who had fourth degree uterovaginal or vault prolapse, and underwent renal ultrasonography and renal function blood tests were included in the study. Follow-up imaging for hydronephrosis was performed to determine the outcome after patients received treatment.<br />Results: The mean age of the study population was 66.1 years. The overall incidence of hydronephrosis was 20.6%. The incidence of hydronephrosis in patients with severe vault prolapse was 7.1%, while that in patients with severe uterovaginal prolapse was 22.4%. Of the 25 patients with hydronephrosis, 16 (64.0%) had complete resolution of hydronephrosis after treatment, 5 (20.0%) had residual but smaller degrees of hydronephrosis, and 4 (16.0%) were lost to follow-up. The incidence of renal impairment was 3.3%.<br />Conclusion: The local incidence of hydronephrosis in patients with severe uterovaginal or vault prolapse was 20.6% in our study. We established that 3.3% of women with severe uterovaginal or vault prolapse had mild renal impairment. Treatment by vaginal surgery for severe uterovaginal or vault prolapse appears to result in either complete resolution or improvement of hydronephrosis in the majority of patients.
- Subjects :
- Aged
Female
Humans
Hydronephrosis pathology
Hydronephrosis therapy
Incidence
Kidney diagnostic imaging
Kidney Diseases complications
Kidney Function Tests
Middle Aged
Pessaries
Retrospective Studies
Treatment Outcome
Ultrasonography
Uterine Prolapse therapy
Uterus surgery
Vagina surgery
Hydronephrosis epidemiology
Uterine Prolapse complications
Uterine Prolapse epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 2737-5935
- Volume :
- 54
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Singapore medical journal
- Publication Type :
- Academic Journal
- Accession number :
- 23546030
- Full Text :
- https://doi.org/10.11622/smedj.2013048