Table of Contents
What is the most common obstructive lesion of the urinary tract in childhood?
The most common site of obstruction in children, both male and female, is the neck of the bladder.
What is the most common cause of severe obstructive uropathy in children?
Causes of obstructive uropathy in children Commonest: pelviureteral junction(PUJ) obstruction. Posterior urethral valves with subvesical obstruction, anterior urethral valves, urethral atresia, meatal stenosis.
What can cause obstructive uropathy?
Common causes of obstructive uropathy include:
- Bladder stones.
- Kidney stones.
- Benign prostatic hyperplasia (enlarged prostate)
- Advanced prostate cancer.
- Bladder or ureteral cancer.
- Colon cancer.
- Cervical or uterine cancer.
- Ovarian cancer.
What are the common causes of urinary tract obstruction?
Causes of urinary obstruction
- Prostate enlargement (in men), which may be benign or malignant.
- Stones (can be in the kidneys, ureter, or bladder)
- Tumor (can be anywhere in or outside the urinary tract, compressing it)
- Infection.
- Blood clots.
- Enlarged uterus in pregnant women.
How is obstructive uropathy diagnosed?
The diagnosis of obstructive uropathy usually requires the presence of hydronephrosis, hydroureter, and/or bladder distention. Ultrasound is the imaging study of choice to determine if obstructive uropathy is present.
What is congenital obstructive uropathy?
Congenital causes include obstructions at a number of sites (like pelvi-ureteric junction, posterior urethral valves, a tight foreskin or smaller than normal penile opening), abnormalities of the nerves to the bladder and others.
What is Post obstructive uropathy?
By definition, post-obstructive diuresis is the condition of prolonged urine production of at least 200 cc for at least two consecutive hours immediately following the relief of urinary retention or similar obstructive uropathy. It may also be defined as more than 3,000 cc over 24 hours.[6]
What secondary condition can develop because of an obstructive uropathy?
Obstructive uropathy is structural or functional hindrance of normal urine flow, sometimes leading to renal dysfunction (obstructive nephropathy).
Is obstructive uropathy reversible?
Prognosis depends on the underlying etiology of the obstruction. An acute urologic obstruction is more likely to be reversible and less likely to produce damage to the kidney filtration system or other functions. However, chronic obstruction produces worse long-term effects on renal function.