Obstructive uropathy - bilateral - chronic; Kidney failure - chronic blockage
The goal of treatment is to remove the blockage. You may need to stay in a hospital for a short while.
Treatment may include:
Bilateral obstructive uropathy may be reversible if the blockage is corrected before kidney failure develops.
Chronic kidney failure leads to long-term kidney damage that can be life threatening.
Patients with a chronic blockage are at a higher risk for complications following initial catheter placement. During the first few days following correction of the obstruction, the kidneys may be unable to concentrate urine. As a result, your body removes large amounts of urine that haven't been properly processed. This is called post-obstructive diuresis. It can be a life-threatening condition. Close monitoring is required.
If the obstruction was caused by cancer, the ultimate outcome depends on the disease severity and your response to treatment.
Call your health care provider if decreased urine output or other symptoms of chronic bilateral obstructive uropathy develop.
Pais VM Jr, Strandhoy JW, Assimos DG. Pathophysiology of urinary tract obstruction. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 37.
Hsu THS, Streem SB, Nakada SY. Management of upper urinary tract obstruction. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 38.
McAninch JW, Santucci RA. Renal and ureteral trauma. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 39.
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