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Revision as of 05:15, 18 January 2009

Obstructive uropathy
ICD-10 N13
ICD-9 599.60
MedlinePlus 000507
eMedicine radio/804 

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Overview

Obstructive uropathy is a structural or functional hindrance of normal urine flow,[1] sometimes leading to renal dysfunction (obstructive nephropathy).

It is a very broad term, and does not imply a location or etiology.

Causes

It can be caused by a lesion at any point in the urinary tract.[2]

Causes include urolithiasis[3] and ureteral herniation.[3]

Symptoms

Symptoms, less likely in chronic obstruction, are pain radiating to the T11 to T12 dermatomes, anuria, nocturia, or polyuria.

Diagnosis

Diagnosis is based on results of bladder catheterization, ultrasonography, CT scan, cystourethroscopy, or pyelography, depending on the level of obstruction.

Treatment

Treatment, depending on cause, may require prompt drainage, instrumentation, surgery (eg, endoscopy, lithotripsy), hormonal therapy, or a combination of these modalities.

References

  1. "Definition: obstructive uropathy from Online Medical Dictionary".
  2. Kumar, Vinay; Fausto, Nelson; Fausto, Nelso; Robbins, Stanley L.; Abbas, Abul K.; Cotran, Ramzi S. (2005). Robbins and Cotran Pathologic Basis of Disease (7th ed.). Philadelphia, Pa.: Elsevier Saunders. p. 1012. ISBN 0-7216-0187-1.
  3. 3.0 3.1 Tsai PJ, Lin JT, Wu TT, Tsai CC (2008). "Ureterosciatic hernia causes obstructive uropathy". J Chin Med Assoc. 71 (9): 491–3. PMID 18818145. Unknown parameter |month= ignored (help)


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