|Other encyclopedia topics:||A-Ag Ah-Ap Aq-Az B-Bk Bl-Bz C-Cg Ch-Co Cp-Cz D-Di Dj-Dz E-Ep Eq-Ez F G H-Hf Hg-Hz I-In Io-Iz J K L-Ln Lo-Lz M-Mf Mg-Mz N O P-Pl Pm-Pz Q R S-Sh Si-Sp Sq-Sz T-Tn To-Tz U V W X Y Z 0-9|
|Contents of this page:|
Alternative Names Return to topUrethral obstruction; Acute urethral obstruction; Obstructive uropathy - bilateral - acute
Definition Return to top
Acute bilateral obstructive uropathy is a sudden blockage of the flow of urine from both kidneys. The kidneys continue to produce urine in the normal manner, but because urine does not drain properly, the kidneys start to swell.
Causes Return to top
In men, acute bilateral obstructive uropathy is most often a result of an enlarged prostate. Other causes in men include:
Acute bilateral obstructive uropathy is much less common in women, but may be due to:
Other causes in men and women include:
Acute bilateral obstructive uropathy occurs in about 5 out of 10,000 people.
Symptoms Return to top
Exams and Tests Return to top
The doctor will perform a physical exam. The exam may show:
There may be signs of chronic kidney failure, high blood pressure, and infection. Fever is common with an infection.
Tests that may be done include:
The following tests may show hydronephrosis (swelling of kidneys):
This disease may also alter the results of the following tests:
Treatment Return to top
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:
Long-term treatment involves correcting the cause of the blockage. This may involve:
Surgery may also be needed for other disorders that cause blockage of the urethra or bladder neck.
Outlook (Prognosis) Return to top
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.
Possible Complications Return to top
When to Contact a Medical Professional Return to top
Call your health care provider if you have decreased urine output, difficulty urinating, flank pain, or other symptoms of acute bilateral obstructive uropathy.
Prevention Return to top
You may not be able to prevent this condition. Routine annual physicals with a primary care doctor are recommended. If your doctor finds you have acute obstructive uropathy, you should be referred to the nearest emergency room and seen by a urologist.
References Return to top
Wein AJ, et al. Campbell-Walsh Urology. 9th ed. St. Louis, Mo: WB Saunders; 2007.
Goldman L, Ausiello D, et al. Cecil Textbook of Medicine, 22nd ed. Philadelphia, Pa: WB Saunders; 2004:741-742.Update Date: 1/24/2008 Updated 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.