5,421
edits
Urinary tract obstruction: Difference between revisions
no edit summary
No edit summary |
No edit summary |
||
| Line 9: | Line 9: | ||
*** [[Kidney stone disease|Nephrolithiasis or ureterolithiasis]] | *** [[Kidney stone disease|Nephrolithiasis or ureterolithiasis]] | ||
*** Urothelial cancer ([[Bladder cancer|bladder]] or ureter or renal collecting system) | *** Urothelial cancer ([[Bladder cancer|bladder]] or ureter or renal collecting system) | ||
*** Sloughed papilla (from [[renal papillary necrosis]]) | |||
*** Stricture | *** Stricture | ||
*** Blood clots (from surgery, instrumentation, or malignancy) | *** Blood clots (from surgery, instrumentation, or malignancy) | ||
| Line 19: | Line 20: | ||
*** Posterior urethral valve | *** Posterior urethral valve | ||
*** [[Neurogenic bladder]] | *** [[Neurogenic bladder]] | ||
*** Blood clots (from surgery, instrumentation, or malignancy) | |||
* By age group | * By age group | ||
** Children – congenital abnormalities | ** Children – congenital abnormalities | ||
| Line 25: | Line 27: | ||
*** Strictures | *** Strictures | ||
** Adults – [[nephrolithiasis]] | ** Adults – [[nephrolithiasis]] | ||
** Elderly – [[BPH]], [[prostate cancer]], any cancer located in the pelvis | ** Elderly – [[BPH]], [[prostate cancer]], any cancer located in the pelvis or retroperitoneum | ||
== Clinical features == | == Clinical features == | ||
Upper UTO (and by extension, hydronephrosis and hydroureter) is usually painless, but there may be pain related to the underlying cause of the obstruction. | Upper UTO (and by extension, hydronephrosis and hydroureter) is usually painless and asymptomatic, but there may be pain related to the underlying cause of the obstruction, usually only if caused by stone. In case of bilateral upper UTO or lower UTO the patient may have noticed anuria or oliguria. | ||
In case of bilateral upper UTO or lower UTO the patient may have noticed anuria or oliguria. | |||
If the UTO has caused AKI or CKD, symptoms from these may occur eventually. | If the UTO has caused AKI or CKD, symptoms from these may occur eventually. | ||