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Wednesday, November 25, 2009
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Acute bilateral obstructive uropathy

Bladder catheterization, female
Bladder catheterization, female
Bladder catheterization, male
Bladder catheterization, male
Female urinary tract
Female urinary tract
Male urinary tract
Male urinary tract
Alternative Names

Urethral obstruction; Acute urethral obstruction; Obstructive uropathy - bilateral - acute


Treatment

The goal of treatment is to relieve the blockage, which will allow urine to drain from the urinary tract. You may need to stay in a hospital for a short while.

Short-term treatment may include:

  • Antibiotics and other medications to treat symptoms
  • Catheterization-- the placement of a tube into the body to drain urine (See: Urinary catheters)

Long-term treatment involves correcting the cause of the blockage. This may involve:

  • Surgery such as transurethral resection of the prostate (TURP)
  • Laser or heat therapy to shrink the prostate if the problem is due to an enlarged prostate

Surgery may also be needed for other disorders that cause blockage of the urethra or bladder neck.


Support Groups


Expectations (prognosis)

If the acute obstruction is quickly relieved, symptoms usually go away within hours to days. If untreated, the disorder causes progressive damage to the kidneys. It may eventually lead to high blood pressure or kidney failure.


Complications
  • Acute kidney failure
  • Chronic bilateral obstructive uropathy
  • High blood pressure
  • Reflux nephropathy
  • Urinary tract infection
  • Urinary retention or incontinence

Calling your health care provider

Call your health care provider if you have decreased urine output, difficulty urinating, flank pain, or other symptoms of acute bilateral obstructive uropathy.



Review Date: 01/24/2008
Reviewed By: Marc A. Greenstein, D.O., F.A.C.O.S. Urologist, Somerset Medical Center in Somerville, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).
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