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Ureterovesicular junction obstruction (UVJ obstruction) is an obstruction at the level of the ureter and bladder. It accounts for 20% of cases of hydronephrosis detected in utero. It is also most commonly seen in males and involved both sides of the urinary tract in approximately 25% of cases. [1]
In this category the ureters' valvular mechanism is initially intact and healthy but becomes overwhelmed by increased bladder pressures associated with obstruction, which distorts the ureterovesicular junction. The obstructions may be anatomical or functional. Secondary VUR can be further divided into anatomical and functional groups.
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.
These animals possess an adult kidney derived from the metanephros. [24] The duct that connects the kidney to excrete urine in these animals is the ureter. [24] In placental mammals, it connects to the urinary bladder, whence urine leaves via the urethra. [25] In monotremes, urine flows from the ureters into the cloaca. [26]
Renal colic, also known as ureteric colic, is a type of abdominal pain commonly caused by obstruction of ureter from dislodged kidney stones.The most frequent site of obstruction is the vesico-ureteric junction (VUJ), the narrowest point of the upper urinary tract.
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Antegrade pyelogram of grade III hydronephrosis with obstruction at the ureterovesical junction due to bladder endometriosis in a 29 year old female. The tip of the nephrostomy is located in an inferior calyx .
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