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Bladder outlet obstruction is included in the spectrum of congenital anomalies of the kidney and urinary tract (CAKUT). CAKUT is the most common cause of birth defects, occurring in 1 out of 1000 live births, and accounts for approximately half of all cases of chronic kidney disease and end-stage renal disease in children.
Treatment of the obstruction at the level of the ureter: Open surgery. Less invasive treatment: laparoscopic correction. Minimal invasive treatment: Overtoom procedure: [4] dilatation with cutting balloon catheter followed by introduction of the pyeloplasty balloon catheter. [5]
Chronic upper urinary tract obstruction is treated by the insertion of a ureteric stent or a pyeloplasty. [13] Lower urinary tract obstruction (such as that caused by bladder outflow obstruction secondary to benign prostatic hyperplasia) is usually treated by insertion of a urinary catheter or a suprapubic catheter. Surgery is not required in ...
Serious complications of untreated urinary retention include bladder damage and chronic kidney failure. [4] Urinary retention is a disorder treated in a hospital, and the quicker one seeks treatment, the fewer the complications. [citation needed] In the longer term, obstruction of the urinary tract may cause: [citation needed] Bladder stones
Urinary retention [10] Overflow incontinence (occurs in chronic retention) [10] Episodes of near retention [10] As the symptoms are common and non-specific, LUTS is not necessarily a reason to suspect prostate cancer. [7] Large studies of patients have also failed to show any correlation between lower urinary tract symptoms and a specific ...
Alpha-adrenergic agonists may cause urinary retention by stimulating the contraction of the urethral sphincter. Calcium channel blockers may decrease the contractility of the smooth muscle tissue in the urinary bladder, causing urinary retention with overflow incontinence. Epidural anesthesia and delivery also can cause the overflow incontinence.
Without diagnostic evaluation, the cause of underactive bladder is unclear, as there are multiple possible causes. UAB symptoms can accurately reflect impaired bladder emptying due either to DU or obstruction (normal or large storage volumes, elevated post-void residual volume), or can result from a sense of incomplete emptying of a hypersensitive bladder (small storage volumes, normal or ...
Oliguria or hypouresis is the low output of urine specifically more than 80 ml/day but less than 400ml/day. [1] The decreased output of urine may be a sign of dehydration, kidney failure, hypovolemic shock, hyperosmolar hyperglycemic nonketotic syndrome (HHNS), multiple organ dysfunction syndrome, urinary obstruction/urinary retention, diabetic ketoacidosis (DKA), pre-eclampsia, and urinary ...