Acute Obstructive Pyelonephritis Due To Pelvic Organ Prolapse: A Case-Based Review Of The Literature

Pelvic organ prolapse (POP) can lead to acute bilateral obstructive pyelonephritis (ABOP) due to bilateral ureteral compression. When this occurs, conservative treatment through POP reduction, intravenous antibiotics and supportive care seems to provide an interesting option in the wait of definitive management of POP. The cornerstone of ABOP management, which is the emergent urinary drainage, seems to have many drawbacks in this context due to both technical and patient-related criteria, making it invasive and compromising patient safety and comfort in many settings. Here, we review the management of ABOP and provide a case of an acute obstructive pyelonephritis due to POP.Lay abstract: Pelvic organ prolapse (POP) is a common condition arising in a considerable number of women. While its main repercussions include pelvic pain or discomfort, disruption of sexuality and quality of life, pelvic organ prolapse may also lead to life-threatening conditions, namely acute obstructive pyelonephritis (AOP). We hereby expose the case of an AOP due to POP while performing a review of the literature on the proposed management and how it differs from the classic management of AOP.