Specialty urology ICD-9-CM 599.60 eMedicine radio/804 | ICD-10 N13 MedlinePlus 000507 | |
Obstructive uropathy is a structural or functional hindrance of normal urine flow, sometimes leading to renal dysfunction (obstructive nephropathy).
Contents
It is a very broad term, and does not imply a location or cause.
Causes
It can be caused by a lesion at any point in the urinary tract.
Causes include urolithiasis, posterior urethral valves and ureteral herniation.
Symptoms
Symptoms, less likely in chronic obstruction, are pain radiating to the T11 to T12 dermatomes, anuria, nocturia, or polyuria.
Diagnosis
Diagnosis is based on results of bladder catheterization, ultrasonography, CT scan, cystourethroscopy, or pyelography, depending on the level of obstruction.
Treatment
Treatment, depending on cause, may require prompt drainage of the bladder via catheterization, medical instrumentation, surgery (e.g., endoscopy, lithotripsy), hormonal therapy, or a combination of these modalities.
Treatment of the obstruction at the level of the ureter: