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Bladder catheterization, female Bladder catheterization, male Female urinary tract Male urinary tract
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Acute bilateral obstructive uropathy
Alternative Names: Urethral obstruction; Acute urethral obstruction; Obstructive uropathy - bilateral - acute Symptoms: Decreased urine output (may be less than 10 mL per day) Urinary hesitancy Abnormal urine flow -- dribbling at the end of urination Incontinence Decrease in the force of the urinary stream, stream small and weak Increased urinary frequency or urgency Need to urinate at night Frequent strong urge to urinate Burning or stinging with urination Feeling of incomplete emptying of the bladder Sudden flank pain or pain on both sides Blood in the urine Fever Nausea and vomiting High blood pressure (hypertension), recent increase Urine, abnormal color Signs and tests: Examination by touch (palpation) shows enlarged and tender kidneys. Palpation over the bladder shows bladder distention. Placement of a catheter in the bladder may relieve the lack of urine output. Post-void residuals (catheterized measurement of the volume of urine that remains in the bladder after urinating) are repeatedly more than 50 mL. Rectal examination usually shows an enlarged prostate in men. Blood pressure may be elevated. There may be signs and symptoms of acute renal failure. Fever with infection is common. Text Continues Below A urinalysis may be abnormal. A clean catch urine specimen may show infection within the urinary tract. Serum creatinine may increase suddenly, by 2 mg/dL or more over a two-week period. Creatinine clearance may be decreased. Blood BUN may increase suddenly. A blood potassium test may be elevated. Arterial blood gas and blood chemistries may show metabolic acidosis. Hydronephrosis may be apparent in any of the following tests: IVP Renal scan Ultrasound of the kidneys Abdominal CT scan This disease may also alter the results of the following tests: Radionuclide cystogram Creatinine - urine Page:  1 | 2 | Next >>