Gironnet I, Martin-Dupont P, Cosnefroy M C, Brun G
Rev Fr Gynecol Obstet. 1986 Jun-Jul;81(6-7):351-5.
From three observations, the authors analyse the ureteric dilatation and genital prolapse association from an anatomo-clinic point of view. The bladder-base displacement situated in the vaginal prolapse and the resulting very sharp angle formed by the terminal ureter portion are enough to explain the pathogenesis of the observed urinary lesions. The repercussions of advanced prolapses upon upper urinary tracts are rarely mentioned in literature. The three reported clinic cases are absolutely demonstrative: for every one, the major uretero pyelectasis is associated with a progressive renal insufficiency. Authors insist upon urologic symptoms quick regression after a prolapse cure. This correction is made either by putting a pessary, either by a surgical cure unless the risk should be too important for the patient.
通过三项观察，作者从解剖临床角度分析了输尿管扩张与生殖器脱垂之间的关联。位于阴道脱垂中的膀胱底部移位以及输尿管末端形成的非常尖锐的角度足以解释所观察到的泌尿系统病变的发病机制。文献中很少提及晚期脱垂对上尿路的影响。报告的三例临床病例极具说明性：每一例中，主要的肾盂输尿管扩张都伴有进行性肾功能不全。作者强调脱垂治愈后泌尿系统症状迅速消退。这种矫正可通过放置子宫托或手术治疗来实现，除非对患者来说风险过大。
