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UR4. Hydronephrosis consequent to cystocele is even rarer.it can cause compression of ureters and unilateral or bilateral hydronephrosis, predisposing.

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Presentation on theme: "UR4. Hydronephrosis consequent to cystocele is even rarer.it can cause compression of ureters and unilateral or bilateral hydronephrosis, predisposing."— Presentation transcript:

1 UR4

2 Hydronephrosis consequent to cystocele is even rarer.it can cause compression of ureters and unilateral or bilateral hydronephrosis, predisposing to renal failure. This work emphasizes the rarity of such case and the requirement of surgical approach.

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4 A 59 years old women, was referred to the Urology Service with cystocele and ultrasonography of urinary tract evidencing bilateral hydronephrosis As for her antecedents, she reported having 8 pregnancies in the past, with 6 normal deliveries, 1 cesarean and 1 miscarriage. She did not present urinary incontinence

5 On physical examination, was obese and presented a good general state. Gynecologic examination showed a marked cystocele throughout its entire extension with excoriations, hyperemia and fissures on the posterior wall of vagina Laboratory tests showing alteration in urea and creatinine. She presented urinary infection,treated by antibiotherapy

6 The excretory urography confirmed the presence of bilateral hydronephrosis Patient underwent a siurgical bladdersuspension, with good post- operative results within 23 months of follow-up, and improvement of hydronephrosis grade

7 A 62 years old women, was referred to the Urology Service with cystocele and ultrasonography of urinary tract evidencing unilateral hydronephrosis,CT showed the compression of the ureter by the cystocele As for her antecedents, she reported having 7 pregnancies in the past, with 7 normal deliveries. She did not present urinary incontinence

8 On physical examination, wasnt obese and presented a good general state Gynecologic examination showed a marked cystocele throughout its entire extension with excoriations. Laboratory tests was normal

9 The excretory urography confirmed the presence of left hydronephrosis Patient underwent a siurgical bladdersuspension Within 6 months of follow-up, any improvement of hydronephrosis grade

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12 Cystocele can cause unilateral or bilateral hydronephrosis Surgical correction either by vaginal approach, intends to resolve the obstructive urinary picture in majority of cases


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