Presentation
Transvaginal deligation of complete obstruction after delayed presentation has not been described. We present two cases of ureteral ligation after pelvic reconstructive surgery. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
After 3 months of leuprolide acetate and add-back therapy, the cyst, pain, and hydronephrosis resolved. The third case was a 46-year-old woman, G2P2, BMI 25 kg/m(2), who presented with left flank and pelvic pain. [ncbi.nlm.nih.gov]
The pain was severe, and the child was taken to a local emergency department (ED). [chop.edu]
- Inflammation
BACKGROUND: Inflammation plays a crucial role in renal interstitial fibrosis, the pathway of chronic kidney diseases. Necroptosis is a novel form of regulated cell death, which plays a potential role in inflammation and renal diseases. [ncbi.nlm.nih.gov]
The cause of the inflammation (also called fibrosis) is unknown. Treatment: In some patients this can be treated successfully with medicines like steroids to decrease inflammation. [healthcare.utah.edu]
- Lymphadenopathy
The computerized tomography (CT) of the abdomen and pelvis confirmed these findings ( Fig. 2 ) and also showed foci of abnormal soft tissue adjacent to the areas of both ureteral narrowings without evidence of mass or lymphadenopathy. [kjim.org]
Gastrointestinal
- Vomiting
The pain may be associated with nausea and vomiting. Other symptoms might include bloody urine, a urinary tract infection (often with a fever), or might even be a vague abdominal pain. UVJ obstruction usually occurs during fetal development. [chop.edu]
Seek immediate medical attention if you experience: Pain so severe that you can't sit still or find a comfortable position Pain accompanied by nausea and vomiting Pain accompanied by fever and chills Blood in your urine Difficulty passing urine Causes [mayoclinic.org]
Over a period of six months, the patient had developed new-onset tiredness, difficulty working, and gastrointestinal complaints characterized by daily vomiting, intermittent generalized abdominal pain, and a six-pound weight loss. [renalandurologynews.com]
Nausea and vomiting sufficient to cause dehydration*. [patient.info]
- Left Flank Pain
A 45-year-old male admitted to our clinic of symptoms with moderate left flank pain and intermittant macroscopic hematuria. During the last 6 months these complaints had worsened. [ncbi.nlm.nih.gov]
Cardiovascular
- Hypertension
[…] or exacerbation of preexisting hypertension. [ncbi.nlm.nih.gov]
Schreiber is Chair of the Department of Nephrology and Hypertension. Dr. Haber is an associate staff member in the Department of Urology. References Kamisawa T, Funata N, Hayashi Y, et al. [renalandurologynews.com]
- Vascular Disease
The most common causes of ureteral obstruction include: Vascular disease Conditions of the female reproductive system, such as pregnancy, endometriosis and uterine prolapse Diseases of the gastrointestinal tract, such as Crohn's disease, inflammatory [umassmemorialhealthcare.org]
Musculoskeletal
- Back Pain
Case presentation We report a case of a 65-year-old Berber man with clinically significant storage, bladder-emptying symptoms and bilateral low back pain with renal biologic failure and bilateral ureterohydronephrosis, distal ureteral stenosis, detrusor [jmedicalcasereports.com]
Pain, particularly when the urinary obstruction is acute. Decreased renal function due to back pressure causing renal tubular atrophy, glomerular hyalinisation and fibrosis. [patient.info]
Acute flank pain: Comparison of non-contrast-enhanced CT and intravenous urography. Radiology 1995;194:789-94. Back to cited text no. 34 35. Zielonko J, Studniarek M, Markuszewski M. [bioline.org.br]
- Low Back Pain
Case presentation We report a case of a 65-year-old Berber man with clinically significant storage, bladder-emptying symptoms and bilateral low back pain with renal biologic failure and bilateral ureterohydronephrosis, distal ureteral stenosis, detrusor [jmedicalcasereports.com]
Eyes
- Prolapse
No recurrence of genital prolapse was observed at gynecological examination. Laparoscopy can be a wise alternative option to manage ureteral obstruction secondary to vaginal colposuspension for genital organ prolapse. [ncbi.nlm.nih.gov]
The most common causes of ureteral obstruction include: Vascular disease Conditions of the female reproductive system, such as pregnancy, endometriosis and uterine prolapse Diseases of the gastrointestinal tract, such as Crohn's disease, inflammatory [umassmemorialhealthcare.org]
Surg Int 2009;25:613], ureteropelvic junction narrowing, urethral strictures, vesicoureteral reflux); cystocoele, inflammation, neurogenic ureter / bladder, pregnancy, prostatic hypertrophy, sloughed papillae or blood clots, stones, tumors, uterine prolapse [pathologyoutlines.com]
In women, it tends to be related to pelvic tumours (particularly gynaecological malignancies), prolapse of pelvic structures, or pregnancy. [patient.info]
Skin
- Skin Disease
Photo Credit Gracia Lam Personal Health A Little-Known Skin Disease That Can Disrupt People’s Sex Lives Patients deal with pain and itching and often encounter medical ignorance and mistreatment until affected tissues become irreparably scarred. [nytimes.com]
Urogenital
- Flank Pain
A 45-year-old male admitted to our clinic of symptoms with moderate left flank pain and intermittant macroscopic hematuria. During the last 6 months these complaints had worsened. [ncbi.nlm.nih.gov]
- Incontinence
Ureteral injury after pelvic floor surgery and anti-incontinence surgery is a well-known risk. [ncbi.nlm.nih.gov]
[…] reflux see vesicoureteral reflux. ureteral rupture rupture usually results from trauma; leads to urinoma or peritoneal accumulation of urine. ureteral stasis synonymous with obstruction. ureteral valves a rare anomaly that may be a cause of urinary incontinence [medical-dictionary.thefreedictionary.com]
This may be the cause of continuous urinary incontinence in females. In boys, all of the wolffian structures are located above the external urinary sphincter, and incontinence does not occur. [emedicine.medscape.com]
Among the medical conditions treated by this practice and treatment options it offers are the following: Kidney stone disease Prostate cancer Benign prostate disease Bladder cancer Testicular cancer Kidney cancer Female urinary incontinence Male sexual [urology.wustl.edu]
- Renal Insufficiency
Insufficiency, Chronic/metabolism* Renal Insufficiency, Chronic/pathology Transfection Umbilical Veins Ureteral Obstruction Substance Receptor, IGF Type 1 Grant support IK2 BX002797/BX/BLRD VA/United States R01-DK095867/DK/NIDDK NIH HHS/United States [ncbi.nlm.nih.gov]
Non-Obstructing Stones: Today a Friend Tomorrow a Foe Non-obstructing stones are typically not symptomatic, but may occasionally cause infection, pain, renal insufficiency, or blood in urine. [newyorkurologyspecialists.com]
Mortality/Morbidity Urinary tract obstruction may lead to acute or chronic renal insufficiency or overt kidney failure. Obstruction may lead to a salt-losing nephropathy and urinary concentrating defects. [emedicine.medscape.com]
It is a rare disease; nevertheless, its diagnosis and early treatment are important because of its association with severe obstructive uropathy and chronic renal insufficiency. [jmedicalcasereports.com]
- Urinary Incontinence
Among the medical conditions treated by this practice and treatment options it offers are the following: Kidney stone disease Prostate cancer Benign prostate disease Bladder cancer Testicular cancer Kidney cancer Female urinary incontinence Male sexual [urology.wustl.edu]
In boys, all of the wolffian structures are located above the external urinary sphincter, and incontinence does not occur. [emedicine.medscape.com]
[…] diversion 尿路変更(変向) urinary excretion尿中排泄 urinary frequency排尿回数 urinary incontinence 尿失禁 urinary obstruction (ischuria)尿閉 urinary sediment尿沈渣 urinary stone尿路結石 urinary tract 尿路 urination 排尿 urine collecting bag (ostomy bag) 集尿袋 urine volume尿量 urodynamic [tokyo-med.ac.jp]
- Uremia
It manifested itself by urinary tract infection and uremia in one patient with bilateral obstruction but was asymptomatic in the other two. [ncbi.nlm.nih.gov]
Maletz R, Barman D, Pelle K, Bernard D: Reflex anuria and uremia from unilateral ureteral obstruction. Am J Kidney Dis 1993;22:870–873. Songco A, Rattner W: Reflex anuria. Urology 1987;29:432–433. [karger.com]
[…] incontinence腹圧性尿失禁 syphilis梅毒 t testicular cancer精巣癌 testicular torsion精巣(索)捻転 trabeculation肉柱形成、梁状突起、小柱形成 transitional cell carcinoma移行上皮癌 transurethral resection of the prostate (TUR-P)経尿道的前立腺切除術 tubular尿細管の tubulointerstitial尿細管間質の u urea nitrogen尿素窒素 uremia [tokyo-med.ac.jp]
When the obstruction is bilateral, patients may present with uremia. Most acute obstructive uropathies, on the other hand, are associated with significant pain or the abrupt diminution of urine flow. [bioline.org.br]
Once an obstruction occurs, it may progress to renal insufficiency with the appearance of an electrolyte imbalance, uremia or a life-threatening urinary tract infection, and effective management must be scheduled, particularly if further chemotherapy [spandidos-publications.com]
Workup
The diagnosis, workup, and treatment are outlined. Consistent with radiographic findings, the stone was a primary vaginal stone which eroded into the bladder, the nidus of the stone being a vaginal foreign body. [ncbi.nlm.nih.gov]
[…] providing insufficient utility as a single diagnostic test in the evaluation of children suspected of having VUR, such as those presenting with prenatal hydronephrosis or urinary tract infection (UTI).[2] VCUG is the method of choice for grading and initial workup [en.wikipedia.org]
This modality provides the same information as IVP without depending on renal function and can be used when the risks of IVP are considered too great Ultrasonography – This is the procedure of choice for determining the presence of hydronephrosis See Workup [emedicine.medscape.com]
X-Ray
- Nephrolithiasis
During norovirus gastroenteritis, observation of oliguria, aciduria, low FENa value, and elevation of blood or urinary uric acid level may necessitate clinical workout for nephrolithiasis. [ingentaconnect.com]
Acute upper tract obstruction [ 6 ] See also separate Urinary Tract Stones (Nephrolithiasis) article. Advise patients that most stones 10 mm in diameter will require intervention: Acute symptoms rarely last for more than 72 hours. [patient.info]
メサンギウム細胞 metastatic carcinoma転移性癌 microscopic hematuria顕微鏡的血尿 micturition hyperreflexia 排尿反射亢進 micturition reflex 排尿反射 minimally invasive therapy低侵襲治療 mycobacteriaミコバクテリア、マイコバクテリア n needle biopsy針生検 neobladder 新膀胱 nephrectomy腎摘出[術]、腎摘、腎切除[術] nephritis腎炎 nephrolithiasis [tokyo-med.ac.jp]
Colonoscopy
- Polyps
The preferred treatment is endoscopic or surgical resection of the polyp with preservation of the renal unit. [ncbi.nlm.nih.gov]
UVJ obstruction can also be due to scar tissue, infection, a benign polyp or kidney stones. Your child may undergo a variety of tests to help confirm his diagnosis and evaluate the extent of his condition. [chop.edu]
Benign tumors and fibroepithelial polyps are uncommon. Malignant tumors, specifically transitional cell carcinomas, may cause an obstruction within the ureter. Ureteral strictures are narrowing of the ureters which may occur for various reasons. [healthhype.com]
While for 31 cases of calculus of ureter and 20 cases cancer and polyp of ureter, only 3 cases and 7 were positive respectively.Conclusions:MRU... [dict.cnki.net]
Treatment
Complications with this type of treatment, particularly ureteral obstruction, are rare. Very few patients with delayed obstruction have been reported in the literature. [ncbi.nlm.nih.gov]
Prognosis
Patients with malignant ureteral obstruction generally have a poor prognosis and are often difficult to treat. [ncbi.nlm.nih.gov]
Treatment and prognosis Treatment depends on the underlying cause. In a majority of congenital cases, the condition is benign, and usually, no intervention is required. [radiopaedia.org]
Surgery is not required in all prenatally detected cases. [17] Prognosis [ edit ] The prognosis of hydronephrosis is extremely variable, and depends on the condition leading to hydronephrosis, whether one (unilateral) or both (bilateral) kidneys are affected [en.wikipedia.org]
Etiology
We also performed a secondary comparative analysis of patients with a benign vs malignant etiology of obstruction. [ncbi.nlm.nih.gov]
It may present in both pediatric and adult populations although they tend to have differing etiology. The estimated incidence in pediatric populations is ~1 per 1000-2000 newborns, and there is a male predominance (M:F = 2:1). [radiopaedia.org]
Epidemiology
METHODS: Using the Surveillance, Epidemiology, and End Results-Medicare database, we identified patients aged 65 or older with stage IV (n = 10,848) or recurrent (n = 7,872) prostate cancer. [ncbi.nlm.nih.gov]
Related Providers • Associate Professor of Urology and Epidemiology & Biostatistics, • Vice Chair of Urology, • Chief of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, • Director, UCSF Male Genitourinary Reconstruction and Trauma [urology.ucsf.edu]
Laparoscopic and robotic-assisted laparoscopic procedures are often imitation of classical open procedures in laparoscopic or robotic-assisted laparoscopic environments. [8] Epidemiology[edit] It has been estimated that VUR is present in more than 10% [en.wikipedia.org]
Google Scholar Roehrborn CG, McConnell JD: Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. Campbell-Walsh Urology. [jmedicalcasereports.com]
Epidemiology Age Urinary tract obstruction occurs most commonly in the young and the old: In older men, this is a relatively common condition due to prostatic enlargement: Incidence of lower urinary tract symptoms (LUTs)/BPH averages 15 per 1,000 man-years [patient.info]
Pathophysiology
Decreased production of osmolytes in complete obstruction better elucidates the pathophysiology of progression from renal compensatory mechanisms to irrecoverable changes. [xlink.rsc.org]
Tubular proteinuria has been observed following unilateral ureteral obstruction (UUO), suggesting megalin dysfunction; however, the pathophysiological mechanism has not been determined. [ncbi.nlm.nih.gov]
Fred Makau,understanding pathophysiology(2018) Kenya. External links [ edit ] Hydronephrosis Diagnosis and Treatment at SSM Health St. Louis Fetal Care Institute Hydronephrosis symptoms, diagnosis, treatment and general information [en.wikipedia.org]
Pathophysiology of urinary tract obstruction. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 48. Zeidel ML. Obstructive uropathy. In: Goldman L, Schafer AI, eds. [nlm.nih.gov]
Prevention
In conclusion, we demonstrate that in UUO MSC prevent fibrosis, by decreasing HuR-dependent RENmRNA stability. [ncbi.nlm.nih.gov]