Ureteral Obstruction in Patients with Uterine Prolapse

Abstract

Nineteen cases of procidentia with upper urinary tract dilatation of varying degrees are presented. These cases demonstrate the importance of this entity as a cause of urinary tract obstruction. A significant incidence of urinary tract infections (74%) without an increased frequency of hypertension was found. Intravenous urography should be an integral part of the work-up of patients with uterine prolapse and should include views in the prone and erect positions. The caudal displacement of the trigone which can occur in patients with procidentia may be the cause of ureteral obstruction in these patients by increasing the resistance to drainage at the ureteral meati.