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Chronic Bilateral Obstructive Uropathy


Chronic bilateral obstructive uropathy is a condition that results in blocking the urine from both the kidneys. Although, the kidneys take considerable time to get blocked, if gets blocked then it results in long term blockage. The condition is called bilateral because it causes blockage of both the kidneys of the human body. The disease is quite prevalent as 1 out of 1000 people is affected from the condition. Some of the alternatives name of the condition are kidney failure-chronic blockage and obstructive uropathy-bilateral-chronic.

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Bladder outlet obstruction is considered as the main cause of the chronic bilateral obstructive uropathy. Reason being; the bladder outlet obstruction restricts urine to flow out from the bladder and this eventually results in high blood pressure, swelling and damaging of the kidney. Some other causes of the condition are prostate tumors, bladder tumors, thinning of the urethra due to scar tissue or the birth defect, retroperitoneal fibrosis, etc

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Signs & Symptoms

Symptoms of the chronic bilateral obstructive uropathy depend upon the nature of the obstruction and the place of the occurrence of urinary tract obstruction.  Some of the most common symptoms of the condition are:

  • Frequent and stronger urge to urinate
  • Decreased urine output
  • Incontinence
  • Urine hesitancy
  • Fever and chills
  • Decrease flow in the urinary stream

Some other symptoms of the condition are:

  • High blood pressure
  • Abnormal Urine color
  • Nail problems
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The condition can be prevented by going for a routine check up of the lower urinary tract disorders. Moreover, if the condition is caused by the enlarged prostate, early screening of the prostate problem helps in preventing the condition.  

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Treatment Modern Medicine

The basic aim of the treatment is to reduce the blockage. In order to take apt treatment, a person needs to stay in the hospital for a particular time period. Some of the main treatments of the chronic bilateral obstructive uropathy include:

  • Urinary tract infections are treated by antibiotics.
  • Urine will be drained out of the body by placing a tube into the body. This process is known as catheterization.
  • If kidney failure occurs, dialysis will be carried out.
  • If enlarged prostate is the cause of the condition, then heat or laser therapy is performed. The therapy causes shrinkage of the prostate.
  • Transurethral resection of the prostate (TURP) surgery is also performed for treating the condition.
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