Sepsis urológica secundaria a obstrucción ureteral bilateral por prolapso uterino

Abstract

Uterine prolapse is one of the most frequent gynecological disorders in postmenopausal and multiparous women but is an uncommon cause of obstructive uropathy and renal failure. We describe a 64-year-old woman who developed acute renal failure and urological sepsis after frequent urinary tract infections over several years. The patient had had uterine prolapse for at least 4 years and had refused surgical treatment. A clinical diagnosis of urological sepsis due to bilateral ureteral obstruction caused by uterine prolapse (grade iv) was made, and treatment was initiated with intravenous antibiotics, permanent urinary catheterization, and a vaginal pessary. This treatment markedly improved the patient's symptoms. After resolution of the sepsis, total hysterectomy was performed with colposuspension, anterior repair with surgical Prolift mesh, and perineoplasty.