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Chronic bilateral obstructive uropathy
Alternative Names: Obstructive uropathy - bilateral - chronic; Kidney failure - chronic blockage Symptoms: Symptoms depend on the time course of the obstruction and where in the urinary tract the obstruction occurs. Some of the most common symptoms of chronic obstructive uropathy include: Stronger and more frequent urge to urinate Difficulty initiating the flow of urine (urinary hesitancy) Dribbling of urine, incontinence Decreased urine output Decrease in the force of the urinary stream Increased need to urinate at night Burning or stinging with urination Feeling of incomplete emptying of the bladder Alternating episodes of increased urine output and decreased urine output Fever and chills (if there is also urinary infection) Additional symptoms that may be associated with this disease: Nail abnormalities High blood pressure Abnormal urine color Text Continues Below Signs and tests: Examination by touch (palpation) may show enlarged or tender kidneys. The bladder may be large and full. Rectal examination may reveal enlarged prostate. Signs and symptoms of chronic renal failure may be present. The blood pressure may also be elevated. A urinalysis and a urine culture (clean catch) may show a urinary tract infection. A CBC may show leukocytosis (increased white blood cell count) if there is an infection. A basic metabolic panel will reveal patient's current kidney function as well as electrolyte balance, which may be abnormal. A bladder scan (ultrasound) shows significant post-void residual (more than 50 mL of urine remains in the bladder after urinating). Uroflowmetry may reveal decreased urinary flow from prostatic blockage (BPH). Hydronephrosis (swelling of kidneys) may be apparent on: Abdominal ultrasound CT scan of abdomen and pelvis Renal scan Page:  1 | 2 | Next >>