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Bladder outlet obstruction (or obstructive uropathy) occurs when urine is unable to flow from the kidneys through the ureters and out of the bladder through the urethra. Decreased flow of urine leads to swelling of the urinary tract, called hydronephrosis .
Obstructive uropathy is a structural or functional hindrance of normal urine flow, [1] sometimes leading to renal dysfunction (obstructive nephropathy). It is a very broad term, and does not imply a location or cause.
596.0 Bladder neck obstruction; 596.4 Atony of bladder; 596.5 Other functional disorders of bladder. 596.51 Bladder hypertonicity; 596.52 Bladder compliance, low; 596.54 Neurogenic bladder, NOS; 596.55 Detrusor sphincter dyssynergia; 597 Urethritis, not sexually transmitted, and urethral syndrome. 597.81 Urethral syndrome, Non-VD, NOS; 598 ...
Urinary tract obstruction is a urologic disease consisting of a decrease in the free passage of urine through one or both ureters and/or the urethra. It is a cause of urinary retention . Complete obstruction of the urinary tract requires prompt treatment for renal preservation. [ 1 ]
Large studies of patients have also failed to show any correlation between lower urinary tract symptoms and a specific diagnosis. [11] Also, recently a report of lower urinary tract symptoms even with malignant features in the prostate failed to be associated with prostate cancer after further laboratory investigation of the biopsy. [10]
Assess the patient to determine if other signs and symptoms are present: flushed face, hot, dry skin, low output, concentrated urine, anorexia, constipation, diarrhea, or vomiting. Older children may complain of sore throat, headaches, aching, and nausea, as well as, other symptoms. [17] Pulse should be checked at distal and proximal sites.
Urethral slings may be used in both adults and children [12] [13] [14] Artificial Urinary Sphincters have shown good term outcomes in adults and pediatric patients. [ 15 ] [ 13 ] [ 16 ] An artificial urinary sphincter has three components: a control pump, an inflatable cuff that goes around the urethra, and a pressure regulating balloon. [ 17 ]
Posterior urethral valve (PUV) disorder is an obstructive developmental anomaly in the urethra and genitourinary system of male newborns. [1] A posterior urethral valve is an obstructing membrane in the posterior male urethra as a result of abnormal in utero development. It is the most common cause of bladder outlet obstruction in male newborns.