A rare complication of long-term vaginal prolapse

Czech version

Authors: O. Novák ²; P. Vašek ¹; M. Gärtner ¹; J. Krhut ³
Authors‘ workplace: Gynekologicko-porodnická klinika FN, Ostrava, přednosta doc. MUDr. O. Šimetka, Ph. D., MBA ¹; Gynekologicko porodnické oddělení nemocnice Nový Jičín, primář MUDr. P. Bartoš, Ph. D., MMED ²; Urologická klinika FN, Ostrava, přednosta doc. MUDr. J. Krhut, Ph. D. ³
Published in: Ceska Gynekol 2018; 83(4): 271-275
Category: Case Report

Overview

Objective: Description of rare complication of long-term uterine prolaps.

Desing: Case report.

Setting: Department of Obstetric and Gynecology, University Hospital Ostrava.

Case report: A seventy-years-old pacient with longterm complete uterine prolaps underwent vaginal hysterectomy with colpoclesis at department of Obstetric and Gynecology of university hospital Ostrava in August 2017. The surgery was planned more than year ago, when patient had no symptoms. But due to patient‘s injury, it was postponed and the condition was already complicated by urine incontinency. The surgery was complicated by bladder lesion, because it was suggested as a pelvis tumor. Correction of cystolithiasis was planned at a second time, when suprapubic cystolithotomy was performed after 16 days. Temporary urinary derivation was ensured by bilateral nephrostomy, epicystostomy and urinal catetrization for low residual bladder capacity after surgery.

Conclusion: Bladder stones are a rare complication of otherwise relatively frequent complete urogenital prolaps in women. Major causes include micturition disorder and chronic urinary tract infection which is caused by vaginal and uterus descensus.

Keywords: long-term vaginal prolapse, bladder lesion, rare complication

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