Obstructive uropathy

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Obstructive uropathy
Classification and external resources
ICD-10 N13
ICD-9 599.60
MedlinePlus 000507
eMedicine radio/804

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.

Contents

[edit] Causes

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

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

[edit] Symptoms

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

[edit] Diagnosis

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

[edit] Treatment

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

[edit] References

  1. ^ "Definition: obstructive uropathy from Online Medical Dictionary". http://cancerweb.ncl.ac.uk/cgi-bin/omd?obstructive+uropathy. 
  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. pp. 1012. ISBN 0-7216-0187-1. 
  3. ^ a b Tsai PJ, Lin JT, Wu TT, Tsai CC (September 2008). "Ureterosciatic hernia causes obstructive uropathy" ([dead link]). J Chin Med Assoc 71 (9): 491–3. doi:10.1016/S1726-4901(08)70155-2. PMID 18818145. 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. 


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