Department of Urology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey.
Ren Fail. 2011;33(5):537-9. doi: 10.3109/0886022X.2011.569104. Epub 2011 Mar 29.
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.
一位 75 岁患者因膀胱膨出就诊于泌尿科，并经尿路超声检查证实双侧 III 级肾积水。患者无排尿问题。妇科检查显示阴道前壁有明显的膀胱膨出，且整个膨出延伸。排泄性尿路造影证实双侧肾积水和“远端输尿管狭窄”存在。患者行前阴道壁修补术和无张力阴道吊带术，无任何并发症。随访 3 个月时，观察到肾积水消退，且患者无排尿不适。对于出现上尿路扩张的女性，必须考虑到盆腔器官脱垂，并进行方便的检查以排除该病。未被发现的病例可能导致误诊和不必要的手术。
