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PROLAPSUS UTERI CAUSING HYDRONEPHROSIS
Author(s) -
MuellerHeubach Eberhard
Publication year - 1969
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1969.tb02347.x
Subject(s) - medicine , broad ligament , hydronephrosis , uterine prolapse , uterus , cervix , urinary system , surgery , urology , anatomy , cancer
A bstract This report concerns the findings in 3 fatal cases of third‐degree prolapse of the uterus with pronounced hydronephrosis. The cause of the urinary obstruction in patients with prolapsus uteri seems to be compression of the ureters by the plexus of thickened uterine vessels which are stretched abnormally by the prolapsed cervix. This compression usually occurs at the point where the ureters and the blood vessels lie athwart one another in the base of the broad ligament. Early correction of uterine prolapse is advocated because, even in longstanding cases, it may result in regression of the ureteral dilatation and thus prevent pyelonephrosis or uremia.