Obstructive uropathy: Difference between revisions
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'''For patient information page click [[{{PAGENAME}} (patient information)|here]]''' | |||
{{Infobox_Disease | | {{Infobox_Disease | | ||
Name = {{PAGENAME}} | | Name = {{PAGENAME}} | | ||
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{{SI}} | {{SI}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | ==Overview== | ||
'''Obstructive uropathy''' is a structural or functional hindrance of normal [[urine]] flow,<ref name="urlDefinition: obstructive uropathy from Online Medical Dictionary">{{cite web |url=http://cancerweb.ncl.ac.uk/cgi-bin/omd?obstructive+uropathy |title=Definition: obstructive uropathy from Online Medical Dictionary |format= |work= |accessdate=}}</ref> sometimes leading to renal dysfunction (obstructive [[nephropathy]]). | '''Obstructive uropathy''' is a structural or functional hindrance of normal [[urine]] flow,<ref name="urlDefinition: obstructive uropathy from Online Medical Dictionary">{{cite web |url=http://cancerweb.ncl.ac.uk/cgi-bin/omd?obstructive+uropathy |title=Definition: obstructive uropathy from Online Medical Dictionary |format= |work= |accessdate=}}</ref> sometimes leading to renal dysfunction (obstructive [[nephropathy]]). | ||
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Causes include [[urolithiasis]]<ref name="pmid18818145">{{cite journal |author=Tsai PJ, Lin JT, Wu TT, Tsai CC |title=Ureterosciatic hernia causes obstructive uropathy |journal=J Chin Med Assoc |volume=71 |issue=9 |pages=491–3 |year=2008 |month=September |pmid=18818145 |doi= |url=http://ajws.elsevier.com/ajws_pubmed/pubmed_switch.asp?journal_issn=1726-4901&art_pub_year=2008&%20art_pub_month=09&art_pub_vol=71&art_sp=491}}</ref> and ureteral herniation.<ref name="pmid18818145">{{cite journal |author=Tsai PJ, Lin JT, Wu TT, Tsai CC |title=Ureterosciatic hernia causes obstructive uropathy |journal=J Chin Med Assoc |volume=71 |issue=9 |pages=491–3 |year=2008 |month=September |pmid=18818145 |doi= |url=http://ajws.elsevier.com/ajws_pubmed/pubmed_switch.asp?journal_issn=1726-4901&art_pub_year=2008&%20art_pub_month=09&art_pub_vol=71&art_sp=491}}</ref> | Causes include [[urolithiasis]]<ref name="pmid18818145">{{cite journal |author=Tsai PJ, Lin JT, Wu TT, Tsai CC |title=Ureterosciatic hernia causes obstructive uropathy |journal=J Chin Med Assoc |volume=71 |issue=9 |pages=491–3 |year=2008 |month=September |pmid=18818145 |doi= |url=http://ajws.elsevier.com/ajws_pubmed/pubmed_switch.asp?journal_issn=1726-4901&art_pub_year=2008&%20art_pub_month=09&art_pub_vol=71&art_sp=491}}</ref> and ureteral herniation.<ref name="pmid18818145">{{cite journal |author=Tsai PJ, Lin JT, Wu TT, Tsai CC |title=Ureterosciatic hernia causes obstructive uropathy |journal=J Chin Med Assoc |volume=71 |issue=9 |pages=491–3 |year=2008 |month=September |pmid=18818145 |doi= |url=http://ajws.elsevier.com/ajws_pubmed/pubmed_switch.asp?journal_issn=1726-4901&art_pub_year=2008&%20art_pub_month=09&art_pub_vol=71&art_sp=491}}</ref> | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis is based on results of bladder [[catheterization]], [[ultrasonography]], [[CT scan]], [[Cystoscopy|cystourethroscopy]], or [[pyelography]], depending on the level of obstruction. | Diagnosis is based on results of bladder [[catheterization]], [[ultrasonography]], [[CT scan]], [[Cystoscopy|cystourethroscopy]], or [[pyelography]], depending on the level of obstruction. | ||
===Symptoms=== | |||
Symptoms, less likely in chronic obstruction, are pain radiating to the T11 to T12 dermatomes, [[anuria]], [[nocturia]], or [[polyuria]]. | |||
==Treatment== | ==Treatment== | ||
Treatment, depending on cause, may require prompt drainage, instrumentation, surgery (eg, [[endoscopy]], [[lithotripsy]]), [[hormonal therapy]], or a combination of these modalities. | Treatment, depending on cause, may require prompt drainage, instrumentation, surgery (eg, [[endoscopy]], [[lithotripsy]]), [[hormonal therapy]], or a combination of these modalities. | ||
===Contraindicated medications=== | |||
*[[Methscopolamine bromide]] | |||
{{MedCondContrAbs|MedCond =Obstructive_uropathy|Glycopyrrolate}} | |||
==References== | ==References== | ||
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{{Nephrology}} | {{Nephrology}} | ||
[[Category:Nephrology]] | [[Category:Nephrology]] | ||
Latest revision as of 05:46, 22 April 2015
For patient information page click here
| Obstructive uropathy | |
| ICD-10 | N13 |
|---|---|
| ICD-9 | 599.60 |
| MedlinePlus | 000507 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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]
Diagnosis
Diagnosis is based on results of bladder catheterization, ultrasonography, CT scan, cystourethroscopy, or pyelography, depending on the level of obstruction.
Symptoms
Symptoms, less likely in chronic obstruction, are pain radiating to the T11 to T12 dermatomes, anuria, nocturia, or polyuria.
Treatment
Treatment, depending on cause, may require prompt drainage, instrumentation, surgery (eg, endoscopy, lithotripsy), hormonal therapy, or a combination of these modalities.
Contraindicated medications
Obstructive_uropathy is considered an absolute contraindication to the use of the following medications:
References
- ↑ "Definition: obstructive uropathy from Online Medical Dictionary".
- ↑ 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.
- ↑ 3.0 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)