Acute bilateral obstructive uropathy

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Bladder catheterization, female

Bladder catheterization, male

Female urinary tract

Male urinary tract

Urethral obstruction; Acute urethral obstruction; Obstructive uropathy - bilateral - acute

Treatment is focused on relieving the obstruction, which will allow urine to drain from the urinary tract.

The patient may need to stay in a hospital for a short while.

A tube placed into the body to relieve urine (catheterization) may provide short-term relief of symptoms. Techniques may use a urethral (Foley) catheter, intermittent self-catheterization, or a suprapubic tube (tube directly draining the bladder through the abdominal wall).

Antibiotics or other medications may be given.

Long-term relief is accomplished through correction of the cause of the obstruction.

Surgery such as TURP (transurethral resection of the prostate) or newer techniques that use laser or heat therapy to shrink the prostate may be helpful if the cause of the problem is an enlarged prostate.

Surgery may also be needed for other disorders that cause blockage of the urethra or bladder neck.

If the acute obstruction is quickly relieved, symptoms usually subside within hours to days. If untreated, the disorder causes progressive damage to the kidneys, and may cause kidney failure and death.

• UTI
• Acute renal failure
• High blood pressure
• Reflux nephropathy
• Chronic bilateral obstructive uropathy
• Voiding dysfunction (urinary retention or incontinence)

Call your health care provider if decreased urine output, difficulty urinating, flank pain, or other symptoms of acute bilateral obstructive uropathy occur.

Review Date: 05/10/2006
Reviewed By: Neil D. Sherman, MD, Urologist, Essex County, NJ. Review provided by VeriMed Healthcare Network.