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Bladder outlet obstruction - Treatment

Alternative Names

BOO; Lower urinary tract obstruction; Prostatism

Treatment:

Treatment of bladder outlet obstruction depends on the cause of the problem. For most cases, a tube, called a catheter, inserted through the urethra into the bladder, will relieve the obstruction temporarily.

Occasionally, a suprapubic catheter (a tube placed through the belly area into the bladder) is needed to drain the bladder.

Long-term treatment of bladder outlet obstruction usually involves surgery. However, medical treatment options are available for many of the diseases that cause this problem. Discuss treatment options with your health care provider.

Expectations (prognosis):

If diagnosed early, most causes of bladder outlet obstruction can be treated with great success. However, if diagnosis is delayed, permanent damage can result.

Complications:

Long-term or high-grade bladder outlet obstruction can permanently damage all parts of the urinary system.

Complications include:

  • Bladder and kidney stones
  • Kidney failure
  • Recurrent urinary tract infections
  • Urinary incontinence
  • Urinary retention

Calling your health care provider:

If you have symptoms of bladder outlet obstruction, call your provider. Early diagnosis is important and can often lead to a simple and effective cure.

  • Reviewed last on: 6/17/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007.

Tseng TY, Stoller ML. Obstructive uropathy. Clin Geriatr Med. 2009 Aug;25(3):437-43.

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