Chronic Bilateral Obstructive Uropathy
Alternate Names : Kidney Failure - Chronic Blockage, Obstructive Uropathy - Bilateral - Chronic
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Treatment
The initial treatment focuses on relieving urinary obstruction.
If the obstruction is at the bladder neck, catheterization may provide short-term relief. An implanted urinary (Foley) catheter, intermittent self catheterizations, or a suprapubic tube (tube directly draining the bladder through the abdominal wall) may be used, depending on the particular case.
Surgery of the prostate, such as by a TURP (transurethral resection of the prostate) provides correction of enlarged prostate. Other surgical intervention may be appropriate for other disorders causing obstruction of the urethra or bladder neck.
If the obstruction is at the level of the ureters, ureteral stents or nephrostomy tubes may temporarily solve the problem. Surgery is usually required for permanent resolution of the obstruction depending on the cause of the obstruction.
Antibiotics may be needed to treat urinary tract infection. Treatment for chronic renal failure such as correction of electrolyte abnormalities and dialysis may be necessary.
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