Obstructive uropathy

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Obstructive uropathy
ICD-10 N13
ICD-9 599.60
MedlinePlus 000507

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List of terms related to Obstructive uropathy

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

  1. "Definition: obstructive uropathy from Online Medical Dictionary".
  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. p. 1012. ISBN 0-7216-0187-1.
  3. 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)




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