What is the meaning of obstructive uropathy?
What is the meaning of obstructive uropathy?
Obstructive uropathy is a condition in which the flow of urine is blocked. This causes the urine to back up and injure one or both kidneys. The female and male urinary tracts are relatively the same except for the length of the urethra.
What is reflux uropathy?
Reflux nephropathy is a condition in which the kidneys are damaged by the backward flow of urine into the kidney.
What causes obstructive nephropathy?
Obstructive nephropathy, also know as uropathy, refers to the syndrome caused by urinary tract obstruction, either functional or anatomic. It includes urinary tract dilatation, impedance and the resulting slowing of urine flow, change in the pressure inside the kidney tubular system and impaired kidney function.
What is the pathophysiology of obstructive uropathy?
Pathophysiology of Obstructive Uropathy Pathologic findings consist of dilation of the collecting ducts and distal tubules and chronic tubular atrophy with little glomerular damage.
How do you manage obstructive uropathy?
Obstruction in these cases can be treated conservatively with intravenous fluids and analgesia. Surgical drainage is necessary only for patients with unrelenting pain, UTI, or persistent obstruction. Acute renal colic due to ureteral stone obstruction is an emergency that requires immediate pain management.
Is obstructive uropathy an emergency?
Purpose: Obstructive uropathy (OU) is a potentially life-threatening urologic emergency that requires urgent decompression. Percutaneous nephrostomy (PCN) is a commonly performed procedure to decompress OU.
What causes kidney reflux?
Primary VUR is thought to be a genetic condition. Secondary VUR is when a blockage in the urinary tract obstructs the flow of pee and sends it back into the kidneys. Kids with this type often have reflux in both ureters. This can happen because of nerve damage, infection, or pressure on the ureter from another organ.
What causes acid reflux?
The most common cause is food that’s acidic or high in fat—like citrus fruits, tomatoes, onions, chocolate, coffee, cheese, and peppermint. Spicy foods or large meals can also be the root of distress. Other sources of heartburn include aspirin or ibuprofen, as well as some sedatives and blood pressure medications.
What is the most common cause of severe obstructive uropathy in children?
Causes of obstructive uropathy in children Commonest: pelviureteral junction(PUJ) obstruction. Posterior urethral valves with subvesical obstruction, anterior urethral valves, urethral atresia, meatal stenosis.
Is obstructive uropathy the same as urinary retention?
The obstruction can present as a motley of symptoms but will typically involve a combination of difficultly initiating micturition, acute urinary retention, or lower abdominal discomfort and distention. The condition can be acute or chronic. It can occur across all age groups and demographics.
How is obstructive uropathy treated?
Treatment consists of eliminating the obstruction by surgery, instrumentation (eg, endoscopy, lithotripsy), or drug therapy (eg, hormonal therapy for prostate cancer).
How do you clear a urine blockage?
Treatment options may include: Antibiotics. Urine removal (through use of a catheter, ureteral stent or draining the kidney directly with a tube through the back) Laparoscopic (minimally invasive) surgery.