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Uropatía obstructiva unilateral aguda - Treatment

Nombres alternativos

Obstrucción ureteral; Uropatía obstructiva aguda unilateral

Tratamiento:

El objetivo del tratamiento es aliviar o reducir la obstrucción.

Se pueden administrar antibióticos si hay infección urinaria.

Los stents (endoprótesis vasculares) o drenajes colocados en el uréter o en un área cercana pueden brindar un alivio breve de los síntomas. La reparación quirúrgica de la causa subyacente de la obstrucción por lo general curará el problema.

Es posible que se necesite una cirugía del riñón, incluyendo su extirpación ( nefrectomía), si el funcionamiento de este órgano es deficiente o si hay una infección grave.

Expectativas (pronóstico):

El resultado varía. El trastorno puede ocasionar daño permanente al riñón; sin embargo, generalmente no se presenta insuficiencia renal , debido a que el otro riñón continúa funcionando.

Cuándo contactar a un profesional médico:

Consulte con el médico si presenta dolor de costado u otros síntomas de uropatía obstructiva unilateral aguda.

Consulte igualmente si los síntomas empeoran durante o después del tratamiento o si se presentan nuevos síntomas.

  • Reviewed last on: 3/17/2011
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Peters CA. Perinatal urology. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Sauders Elsevier; 2007: chap 109.

Pais VM, Strandhoy JW, Assimos DG. Pathophysiology of urinary tract obstruction. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Sauders 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: Sauders Elsevier; 2007: chap 38.

Frokiaer J, Zeidel ML. Urinary tract obstruction. In: Brenner BM, ed. Brenner and Rector's The Kidney. 8th ed. Philadelphia, Pa ; Saunders Elsevier; 2007: chap 35.

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