Dr Ayesha Snover
Assistant Professor, Dept. of Obs/Gynae, Rawal Institute of Health Sciences Lehtrar Road, Islamabad

ABSTRACT
A case report of 50 years old lady who had a neglected complete procidentia resulting in severe obstructive uropathy.
Introduction
Untreated Complete uterovaginal prolapse though not very common, may lead to obstructive uropathy with bilateral hydronephrosis resulting in renal failure. 1,2
Case Report
A 50yrs old obese lady reported in outpatient department of Al-Ihsan hospital with complaint of lower abdominal pain, dysuria, urgency of urine for the last two weeks and history of something coming out of vagina for the last five years. Her menstrual cycle was regular 6/28. LMP was a week ago.
She was married for the last 27 years and had four normal deliveries with no miscarriage and her last child birth was 11 years back. There was no coital activity for the last five years.
She was a known hypertensive and was under the care of a psychiatrist for depression for the last 5 years and was on anti-depressants.
On physical examination she was obese, pale looking not so well oriented in time, place and person with a little drowsiness. Her pulse was 102/min, B.P 135/95 and temperature was 100 F. Systemic examination revealed no abnormality. Gynaecological examination showed complete uterine descent with marked cystocele, rectocele and enterocele.

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