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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.
The signs and symptoms of hydronephrosis depend upon whether the obstruction is acute or chronic, partial or complete, unilateral or bilateral. Hydronephrosis that occurs acutely with sudden onset (as caused by a kidney stone ) can cause intense pain in the flank area (between the hips and ribs) known as a renal colic .
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.
When reflux nephropathy is suspected as a cause of kidney disease, other conditions to consider include chronic pyelonephritis, obstructive uropathy, and analgesic overuse. The term "reflux nephropathy" was introduced in 1973. [1]
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 ]
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 ...
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 ]