Urethral obstruction; Acute urethral obstruction; Obstructive uropathy - bilateral - acute
Symptoms
- Abnormal urine flow -- dribbling at the end of urination
-
Blood in the urine -
Burning or stinging with urination - Decrease in the force of the urinary stream, stream small and weak
-
Decreased urine output (may be less than 10 mL per day) - Feeling of incomplete emptying of the bladder
- Fever
- Frequent strong urge to urinate
- Recent increase in blood pressure
- Leakage of urine (incontinence)
- Nausea and vomiting
-
Need to urinate at night - Sudden
flank pain or pain on both sides -
Urinary hesitancy -
Urine, abnormal color
Signs and tests
The doctor will perform a physical exam. The exam may show:
- Large and full bladder
- Swollen or tender kidneys
- Enlarged prostate (men)
There may be signs of chronic kidney failure, high blood pressure, and infection. Fever is common with an infection.
Tests that may be done include:
- Arterial blood gas and
blood chemistries - Basic metabolic panel -- will reveal kidney function and electrolyte balance
- Blood
BUN -
Creatinine clearance - Complete blood count
-
Potassium test -
Serum creatinine test -
Urinalysis and a urine culture (clean catch) - Ultrasound of the bladder
-
Uroflowmetry
The following tests may show hydronephrosis (swelling of kidneys):
-
IVP -
Renal scan -
Ultrasound of the kidneys -
Abdominal CT scan
This disease may also alter the results of the following tests:
-
Creatinine - urine -
Radionuclide cystogram
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