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Acute Bilateral Obstructive Uropathy


Acute bilateral obstructive uropathy is a condition in which swelling appears in both the kidneys of the body due to improper drainage of urine from the body. Due to sudden blockage, urine does not get drain out from the body. Kidneys get swelling due to the fact that in spite of production of urine by kidneys in required quantity, urine does not drain out. As compared to women, men are more susceptible towards this disorder. It is commonly believed that 5 out of 10000 people are affected form the disorder. Acute urethral obstruction, urethral obstruction, obstructive uropathy-bilateral- acute, etc are some other names of the disorder.

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Sudden obstruction of urethra is considered as one of the main causes of acute bilateral obstructive uropathy. In men, enlarged prostate is considered as one of the main causes of the disorder. Some other causes held responsible for causing the condition include:

  • Kidney stones
  • Prostate cancer
  • Bladder cancer

In women, the condition is caused due to:

  • Pregnancy
  • Cervical cancer
  • Bladder cystocele

Some of the common causes in men and women include:

  • Papillary Necrosis
  • Blood clots
  • Neurogenic bladder
  • Other rare retroperitoneal processes
  • Posterior urethral valves in infant boys

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Signs & Symptoms

Some of the common symptoms of acute bilateral obstructive uropathy are described below:

  • Urinary hesitancy
  • Blood in the urine
  • Stinging or burning with urination
  • Fever, nausea and vomiting
  • Strong and frequent urge to urinate
  • Sudden increase of blood pressure
  • Abnormal urine flow
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Although, condition cannot be prevented, routine health check-ups help in minimizing its occurrence. Hence, it is advised to seek treatment from urologist once you detect its symptoms.  


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Surgical Modern Medicine

Treatment of Acute bilateral obstructive uropathy is basically taken with the main aim of relieving blockage so that urine can easily pass down from urinary tract. Normally, patients have to stay in hospital for a short duration, till the time treatments gets over. The disorder can be treated with both short term and long term treatments. Short term treatment basically includes:

  • Administering antibiotics
  • Placing of a tube inside the body to drain urine (catheterization)

Generally, long term treatment focuses on treating cause of the blockage that includes:

  • Surgery like transurethral resection of the prostate (TURP)
  • Heat or laser therapy in the case if the condition is caused by enlarged prostate. The therapy aims at shrinking the prostate.

A noteworthy fact is it is necessary to treat the condition immediately as if it is left untreated, then it leads to acute renal failure or hypertension.

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