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Bladder catheterization, female
Bladder catheterization, female
Bladder catheterization, male
Bladder catheterization, male
Female urinary tract
Female urinary tract
Male urinary tract
Male urinary tract


Acute bilateral obstructive uropathy

Alternative Names:
Urethral obstruction; Acute urethral obstruction; Obstructive uropathy - bilateral - acute

Treatment:

Treatment is focused on relieving the obstruction, which will allow urine to drain from the urinary tract. This allows the body to begin the natural healing process.

Text Continues Below



Catheterization may provide short-term relief of symptoms. This may be a urethral (Foley) catheter, intermittent self-catheterization, or a suprapubic tube (tube directly draining the bladder through the abdominal wall).

Antibiotics or other medications may need to be given upon diagnosis of infection or renal failure. Initial evaluation and treatment may require hospitalization.

Long-term relief is accomplished through correction of the cause of the obstruction.

Surgical reduction of the prostate -- such as by a TURP (transurethral resection of the prostate) -- may relieve blockage from enlarged prostate. Surgical intervention may also be appropriate for other disorders causing blockage of the urethra or bladder neck.



Expectations (prognosis):

If the acute obstruction is quickly relieved, symptoms usually subside within hours to days . If untreated, the disorder causes progressive damage to the kidneys, and may cause kidney failure and death.



Complications:
  • UTI
  • Acute renal failure
  • High blood pressure
  • Reflux nephropathy
  • Chronic bilateral obstructive uropathy
  • Voiding dysfunction (urinary retention or incontinence)


Calling your health care provider:

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