Miranda-Mazariegos IM, Velázquez-Castellanos PI, Godoy-Rodríguez N, Orozco-Cantellanos RJ

Language: Spanish
References: 15
Page: 197-201
PDF size: 269.31 Kb.

ABSTRACT

Background: Pelvic organ prolapse is a frequent alteration in postmenopausal and multiparous women. Hydronephrosis is an important complication of urogenital prolapse.
Objective: To determine the prevalence of hydronephrosis in women with advanced pelvic organ prolapse.
Materials and Methods: An observational, descriptive, longitudinal study was conducted on women with grade III and IV pelvic organ prolapse that had kidney ultrasound study to detect hydronephrosis and were then programmed for surgical treatment to correct the urogenital prolapse. The preoperative and postoperative concentrations of serum creatinine, serum urea, and serum blood urea nitrogen were determined to evaluate hydronephrosis cure. The Student’s t test and Fisher’s exact test were employed for the statistical analysis and statistical significance was set at a p ‹ 0.05.
Results: Forty patients were registered. The prevalence of hydronephrosis was 22.5%. Postmenopausal, multipara women with obesity had greater risk for pelvic organ prolapse. Hydronephrosis disappeared completely after surgical treatment in 77.7% of the cases.
Conclusions: The correction of advanced pelvic organ prolapse through surgical intervention is an effective strategy in patients with hydronephrosis. Kidney ultrasound is a useful method for diagnosing hydronephrosis caused by pelvic organ prolapse and performing its opportune treatment.

REFERENCES

1. Mark D. Walters, Mickey M. Karram, Uroginecología y cirugía reconstructiva de la pelvis. 3ª ed. Barcelona: Elsevier Masson, 2014;17-29, 58-86.

2. Beverly CM, Walters MD, Weber AM, Piedmonte MR, Ballard LA. Prevalence of hydronephrosis in patients undergoing surgery for pelvic organ prolapse. Obstet Gynecol 1997;90(1);37-41.

3. Fritel X, Varnoux N, Zins M, Breart G, Ringa V. Symptomatic pelvic organ prolapse at midlife, quality of life, and risk factor. Obstet Gynecol 2009;113(3):609-616.

4. Kenton K, Brubaker L, Eckler K. Pelvic organ prolapse in women: Surgical repair of apical prolapse (uterine or vaginal vault prolapse). Update: Apr 24, 2017 [en línea]. Dirección URL: .

5. Palma P, Dávila H. Uroginecología. 1ª ed. Buenos Aires: Confederación Americana de Urología, 2006;171-176.

6. Bump RC, Mattiasson A, Bo K, Brubaker LP, Delancey JO, et al. The standardization of terminology of female pelvic organ prolapsed and pelvic floor disjunction. Am J Obstet Gynecol 1996;175(1):10-17.

7. Weber AM, Abrams P, Brubaker G, Cundiff G, et al. The Standardization of Terminology for Researchers in Female Pelvic Floor Disorders. Int Urogynecol J Pelvic Floor Dysfunct 2001;12(3):178-186.

8. Hui SY, Chan SC, Lam SY, Lau TK, Chung KH. A prospective study on the prevalence of hydronephrosis in women with pelvic organ prolapse and their outcomes after treatment. Int Urogynecol J 2011;22(12):1529-34.

9. Gemer O, Bergman M, Segal S. Prevalence of hydronephrosis in patients with genital prolapse. Eur J Ginecol Reprod Biol 1999;86(1):11-13.

10. Charles M. Beverly CM, Mark D, Walters MD, et al. Prevalence of hydronephrosis in patients undergoing surgery for pelvic organ prolapse. Obstet Gynecol 1997;90:37-41.

11. Moore S, Bailey RR, Maling TM, Little PJ. Urinary tract obstruction and renal failure due to uterine prolapse. N Z Med J 1978;87:429-31.

12. McAninch WJ, Lee FT. Smith y Tanago. Urología general. 18ª ed. México: McGraw Hill Interamericana, 2014;170- 194.

13. Programa de Estadísticas Epidemiológicas de Código Abierto para Salud Pública (OpenEpi) versión 3.01. 2017 [en línea]. Dirección URL: .

14. VI Trobada de Comares de la Comunitat Valenciana Qualitat per a la dona davant el no mil lenni. PONENCIES. Generalitat valenciana Conselleria de sanitat 2003. [en línea]. Dirección URL: .

15. Kang H, et al. Obstructive anuria resulting from total uterine prolapsed: A case report. J Women´s Med 2010;3(4):174-176.