Cystocele – an underappreciated cause of severe obstructive uropathy

An 84-year-old independent woman was admitted with fever, hematuria and extreme lassitude over 3 days. Past medical history included obesity, hypertension (on ramipril), diabetes (on diet, atorvastatin), osteoporosis, and constipation. One year prior she developed urinary frequency and incontinence and was diagnosed with cystocele. She refused surgical repair and received mirabegron 50 mg/day. Recent serum creatinine was 0.9 mg/dL, eGFR 61 ml/min.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research