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Urosepsis and hydronephrosis secondary to vaginal vault prolapse: A case report

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Pelvic organ prolapse (POP) is a common condition affecting older women. POP can cause hydronephrosis in some patients. Although rare, especially in the subset of patients with vaginal vault prolapse,… Click to show full abstract

Pelvic organ prolapse (POP) is a common condition affecting older women. POP can cause hydronephrosis in some patients. Although rare, especially in the subset of patients with vaginal vault prolapse, unrecognized obstructive hydronephrosis can result in renal impairment and urosepsis. We present a case of a 69-year-old female with obstructive urosepsis on a background of vaginal vault prolapse. The case highlights the importance of early recognition and intervention of obstructive urosepsis in patients with severe POP disease. Level of evidence: Not applicable for this multicentre audit.

Keywords: vault prolapse; urosepsis; vaginal vault; prolapse; hydronephrosis

Journal Title: Journal of Clinical Urology
Year Published: 2021

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