Guy L. Hunner

What the gynecologist should know about urology

Abstract Gynecologists must bear in mind that ureteral stricture is one of the most common lesions of the abdominopelvic cavity. By virtue of the usual position of the stricture in the lower pelvis and its relations to the pelvic sympathetic nerves, and by virtue of its effects on the renal function, its symptoms are more varied than those of any local disease with which we are familiar. It follows that in any obscure train of symptoms involving the abdominal, pelvic, or hip regions, ureteral stricture must always be borne in mind. The existence of such obscure symptoms together with others referable to the bladder places a special obligation on the diagnostician to investigate the urinary tract most carefully. The absence of pathologic elements in the urine does not always give the urinary tract a clean bill of health . In the case of any patient who, despite one or more pelvic operations still complains of her original symptoms, it is incumbent upon the gynecologist to make a meticulous survey of the urinary tract.