Although bilateral hydronephrosis caused by pelvic organ prolapse (POP) is not rare, it does not usually cause severe pyelonephritis or acute renal failure. Recurrence of POP accompanied with hydronephrosis and pyelonephritis following curative surgery for POP has been rarely reported. We describe a case of recurrent pyelonephritis due to POP. A 79-year-old woman visited our hospital with anorexia. She was diagnosed with right pyelonephritis, acute renal failure with bilateral hydroureteronephrosis, uterine prolapse, and cystocele. She underwent right nephrostomy and received antibiotics, and her condition then improved. Two months later, she revisited us with left pyelonephritis. She underwent left nephrostomy and received antibiotics. As POP seemed to cause bilateral ureteral obstructions, laparoscopic hysterectomy and uterosacral ligament suspension was performed. Although her POP and ureteral obstructions improved temporarily cystocele and ureteral obstructions with left pyelonephritis recurred two months later. Subsequent pessary treatment managed POP and ureteral obstructions during 1-year follow-up. Pyelonephritis in patients with POP is rare. In the review of literature, all of patients undergoing nephrostomy or ureteral stent survived whereas some of patients not undergoing such interventions died. Additionally, most of patients undergoing POP management survived whereas more than half of patients not undergoing POP management died. We encountered a case of recurrent bilateral hydronephrosis and pyelonephritis caused by POP. There was a clear association of POP occurrence with ureteral obstruction and pyelonephritis, suggesting the importance of managing POP and ureteral obstruction appropriately in such case.
| Published in | International Journal of Clinical Urology (Volume 7, Issue 1) |
| DOI | 10.11648/j.ijcu.20230701.13 |
| Page(s) | 9-12 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Hydronephrosis, Pelvic Organ Prolapse, Pyelonephritis, Uterosacral Ligament Suspension, Pessary
| [1] | Mueller-Heubach E. Prolapsus uteri causing hydronephrosis. J Am Geriatr Soc. 1969; 17 (11): 1055-63. DOI: 10.1111/j.1532-5415.1969.tb02347.x. |
| [2] | Tayeh GA, Lilly E, Antoun MA, Akl R, Mjaess G, Atallah D, Moukarzel M. Acute obstructive pyelonephritis due to pelvic organ prolapse: a case-based review of the literature, Future Science. 2021; 7 (6): 696. DOI: 10.2144/fsoa-2020-0204. |
| [3] | 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. DOI: 10.1016/S0029-7844(97)00240-8. |
| [4] | Brettauer J, Rubin IC. Hydroureter and hydronephrosis: a frequent secondary finding in cases of prolapse of the uterus and bladder. Am J Obstet Gynecol. 1923; 6: 696–708. |
| [5] | Lieberthal F., Frankenthal L. J. The mechanism of ureteral obstruction in prolapse of the uterus. Surg. Gynecol. Obstet. 1941; 73: 28–32. DOI: 10.1081/JDI-120024303. |
| [6] | Siddique M, Ingraham C, Kudish B, Iglesia CB, Polland A. Hydronephrosis associated with pelvic organ prolapse: a systematic review. Female Pelvic Med. Reconstr. Surg. 2020; 26 (3), 212–8. DOI: 10.1097/SPV.0000000000000683. |
| [7] | Rudin LJ, Megalli MR, Lattimer JK, Obstructive uropathy associated with uterine prolapse, Urology. 1974; 4 (1): 73-9. DOI: 10.1016/0090-4295(74)90112-5. |
| [8] | Costantini E, Lazzeri M, Mearini L, Zucchi A, Del Zingaro M, Porena M. Hydronephrosis and pelvic organ prolapse. Urology. 2009; 73 (2): 263–7. DOI: 10.1016/j.urology.2008.08.480. |
| [9] | Leanza V, Ciotta L, Vecchio R, Zanghì G, Maiorana A, Leanza G. Hydronephrosis and utero-vaginal prolapse in postmenopausal women: management and treatment. G Chir. 2015; 36 (6): 251–6. DOI: 10.11138/gchir/2015.36.6.251. |
| [10] | Wee WW, Wong HF, Lee LC, Han HC. Incidence of hydronephrosis in severe uterovaginal or vault prolapse. Singapore Med J. 2013; 54 (3): 160-2. DOI: 10.11622/smedj.2013048. |
| [11] | Young JB, Selby PL, Peacock M, Brownjohn AM, Uterine prolapse and urinary tract obstruction. British Medical Jounal. 1984; 7: 289: 41-2. DOI: 10.1136/bmj.289.6436.41. |
| [12] | Jong IC, Huang JJ, Lan RR, Wang MC, Tseng CC, Chen KW, Emphysematous pyelonephritis in two diabetic patients with complete uterine prolapse and cystocele. Nephrol Dial Transplant. 1998; 13 (12): 3214-7. DOI: 10.1093/ndt/13.12.3214. |
| [13] | Iwamoto H, Anno T, Takenouchi H, Takahashi K, Horiya M, Kimura Y, Kawasaki F, Kaku K, Tomoda K, Uehara S, Kaneto H. Emphysematous Cystitis and Pyelonephritis Induced by Uterine Prolapse in a Subject With Untreated Diabetes Mellitus. Front Med (Lausanne). 2021; 8: 658682. DOI: 10.3389/fmed.2021.658682. |
| [14] | Ho MP, Cheung WK. Unilateral acute pyelonephritis associated with a neglected pessary. J Am Geriatr Soc. 2011; 59 (10): 1962-3. DOI: 10.1111/j.1532-5415.2011.03610_1.x. |
| [15] | Campagna G, Vacca L, Panico G, Vizzielli G, Caramazza D, Zaccoletti R, Marturano M, Granese R, Arcieri M, Cianci S, Scambia G, Ercoli A. Front Med (Lausanne). 2022; 9: 853694. DOI: 10.3389/fmed.2022.853694. |
APA Style
Shozaburo Mayumi, Satoshi Washino, Tomoaki Miyagawa. (2023). A Case of Recurrent Bilateral Hydronpehrosis and Pyelonephritis Due to Pelvic Organ Prolapse. International Journal of Clinical Urology, 7(1), 9-12. https://doi.org/10.11648/j.ijcu.20230701.13
ACS Style
Shozaburo Mayumi; Satoshi Washino; Tomoaki Miyagawa. A Case of Recurrent Bilateral Hydronpehrosis and Pyelonephritis Due to Pelvic Organ Prolapse. Int. J. Clin. Urol. 2023, 7(1), 9-12. doi: 10.11648/j.ijcu.20230701.13
AMA Style
Shozaburo Mayumi, Satoshi Washino, Tomoaki Miyagawa. A Case of Recurrent Bilateral Hydronpehrosis and Pyelonephritis Due to Pelvic Organ Prolapse. Int J Clin Urol. 2023;7(1):9-12. doi: 10.11648/j.ijcu.20230701.13
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Download@article{10.11648/j.ijcu.20230701.13,
author = {Shozaburo Mayumi and Satoshi Washino and Tomoaki Miyagawa},
title = {A Case of Recurrent Bilateral Hydronpehrosis and Pyelonephritis Due to Pelvic Organ Prolapse},
journal = {International Journal of Clinical Urology},
volume = {7},
number = {1},
pages = {9-12},
doi = {10.11648/j.ijcu.20230701.13},
url = {https://doi.org/10.11648/j.ijcu.20230701.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20230701.13},
abstract = {Although bilateral hydronephrosis caused by pelvic organ prolapse (POP) is not rare, it does not usually cause severe pyelonephritis or acute renal failure. Recurrence of POP accompanied with hydronephrosis and pyelonephritis following curative surgery for POP has been rarely reported. We describe a case of recurrent pyelonephritis due to POP. A 79-year-old woman visited our hospital with anorexia. She was diagnosed with right pyelonephritis, acute renal failure with bilateral hydroureteronephrosis, uterine prolapse, and cystocele. She underwent right nephrostomy and received antibiotics, and her condition then improved. Two months later, she revisited us with left pyelonephritis. She underwent left nephrostomy and received antibiotics. As POP seemed to cause bilateral ureteral obstructions, laparoscopic hysterectomy and uterosacral ligament suspension was performed. Although her POP and ureteral obstructions improved temporarily cystocele and ureteral obstructions with left pyelonephritis recurred two months later. Subsequent pessary treatment managed POP and ureteral obstructions during 1-year follow-up. Pyelonephritis in patients with POP is rare. In the review of literature, all of patients undergoing nephrostomy or ureteral stent survived whereas some of patients not undergoing such interventions died. Additionally, most of patients undergoing POP management survived whereas more than half of patients not undergoing POP management died. We encountered a case of recurrent bilateral hydronephrosis and pyelonephritis caused by POP. There was a clear association of POP occurrence with ureteral obstruction and pyelonephritis, suggesting the importance of managing POP and ureteral obstruction appropriately in such case.},
year = {2023}
}
TY - JOUR T1 - A Case of Recurrent Bilateral Hydronpehrosis and Pyelonephritis Due to Pelvic Organ Prolapse AU - Shozaburo Mayumi AU - Satoshi Washino AU - Tomoaki Miyagawa Y1 - 2023/02/27 PY - 2023 N1 - https://doi.org/10.11648/j.ijcu.20230701.13 DO - 10.11648/j.ijcu.20230701.13 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 9 EP - 12 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20230701.13 AB - Although bilateral hydronephrosis caused by pelvic organ prolapse (POP) is not rare, it does not usually cause severe pyelonephritis or acute renal failure. Recurrence of POP accompanied with hydronephrosis and pyelonephritis following curative surgery for POP has been rarely reported. We describe a case of recurrent pyelonephritis due to POP. A 79-year-old woman visited our hospital with anorexia. She was diagnosed with right pyelonephritis, acute renal failure with bilateral hydroureteronephrosis, uterine prolapse, and cystocele. She underwent right nephrostomy and received antibiotics, and her condition then improved. Two months later, she revisited us with left pyelonephritis. She underwent left nephrostomy and received antibiotics. As POP seemed to cause bilateral ureteral obstructions, laparoscopic hysterectomy and uterosacral ligament suspension was performed. Although her POP and ureteral obstructions improved temporarily cystocele and ureteral obstructions with left pyelonephritis recurred two months later. Subsequent pessary treatment managed POP and ureteral obstructions during 1-year follow-up. Pyelonephritis in patients with POP is rare. In the review of literature, all of patients undergoing nephrostomy or ureteral stent survived whereas some of patients not undergoing such interventions died. Additionally, most of patients undergoing POP management survived whereas more than half of patients not undergoing POP management died. We encountered a case of recurrent bilateral hydronephrosis and pyelonephritis caused by POP. There was a clear association of POP occurrence with ureteral obstruction and pyelonephritis, suggesting the importance of managing POP and ureteral obstruction appropriately in such case. VL - 7 IS - 1 ER -
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