Condition of the kidneys and ureters in women with cystocele

Introduction: Uterine or vaginal prolapse (III-IV degree genital prolapse (GP)) in most cases is associated with dysfunction of the urinary tract. However, the publications which address the influence of GP with cystocele on condition of upper urinary tract and renal function are few. Aim of this study was to analyze the results of examination of women with GP and manifest cystocele in order to assess the anatomical condition of upper urinary tract and renal function before and after surgery to restore urinary bladder position with vaginal extraperitoneal colpopexy using synthetic graft. Materials and methods: we assessed the condition of upper urinary tract and renal function in 44 women with III grade cystocele and 49 women with IVgrade cystocele using ultrasound examination, intravenous pyelography and renoradiography. Results: among patients with III grade cystocele 21 (47,8%) were diagnosed with unilateral or bilateral hydroureteronephrosis of various degree and in 35 (79,5%) unilateral or bilateral renal dysfunction was found...