Obstructive Uropathy

Alternate Names : Post-Renal Nephropathy

What are the treatments for the condition?

Treatment focuses on relieving the obstruction with surgery, bypass, or medications.

If the cause is benign prostatic hyperplasia, that condition is treated. BPH can be treated with medications, intermittent or continuous use of a urinary catheter in the bladder, or prostate surgery.

If the obstruction is at a higher level, two kinds of tubes can be used to bypass it. A catheter can be placed in the bladder, or a tube is placed through the skin close to the obstructed ureter. Other surgical procedures include redirecting the ureters or placing stents in them.

What are the side effects of the treatments?

Any urinary catheterization increases the risk of urinary tract infections. Surgery complications include risk of infection, bleeding, or reaction to the anesthesia, such as stomach upset or allergic reaction.

What happens after treatment for the condition?

Recovery of kidney function often depends on how long the obstruction lasts. If it is less than 7 days, recovery is usually complete. If it's less than 2 weeks, the chance of renal recovery is about 70%. Obstruction that lasts up to 30 days has only a 30% chance of renal recovery. After 2 to 3 months of obstruction, renal recovery is unlikely. Some people continue to have kidney problems for a long period of time after obstruction.

How is the condition monitored?

Any new or worsening symptoms should be reported to the healthcare provider. The person will have periodic visits with the healthcare provider to monitor kidney function.