Wentworth-Douglass Hospital
(603) 742-5252
Decrease (-) Restore Default Increase (+) font size
Physicians
myWDconnect Patient Portal
Pay Your Bill Online
Pricing Estimates
Financial Assistance
Health Library
Health Insurance Marketplace
Interpreter and Communication Services
Surgery Preparation
Medical Records
Accountable Care Organization
Advance Directives
Clinical Research & Trials
Food and Nutrition Services
Back to Health Library   Print This Page Print    Email to a Friend Email

Bladder catheterization, female
Bladder catheterization, female


Bladder catheterization, male
Bladder catheterization, male


Female urinary tract
Female urinary tract


Male urinary tract
Male urinary tract


Definition:

Acute bilateral obstructive uropathy is a sudden blockage of the flow of urine from both kidneys. The kidneys continue to produce urine in the normal manner, but because urine does not drain properly, the kidneys start to swell.

See also:



Alternative Names:

Urethral obstruction; Acute urethral obstruction; Obstructive uropathy - bilateral - acute



Causes, incidence, and risk factors:

In men, acute bilateral obstructive uropathy is most often a result of an enlarged prostate. Other causes in men include:

  • Bladder cancer
  • Kidney stones
  • Prostate cancer

Acute bilateral obstructive uropathy is much less common in women, but may be due to:

  • Bladder cystocele
  • Cervical cancer
  • Injury from surgery involving the reproductive organs
  • Pregnancy

Other causes in men and women include:

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

Acute bilateral obstructive uropathy occurs in about 5 out of 10,000 people.



Symptoms:

Signs and tests:

The doctor will perform a physical exam. The exam may show:

  • Large and full bladder
  • Swollen or tender kidneys
  • Enlarged prostate (men)

There may be signs of chronic kidney failure, high blood pressure, and infection. Fever is common with an infection.

Tests that may be done include:

The following tests may show hydronephrosis (swelling of kidneys):

This disease may also alter the results of the following tests:



Treatment:

The goal of treatment is to relieve the blockage, which will allow urine to drain from the urinary tract. You may need to stay in a hospital for a short while.

Short-term treatment may include:

  • Antibiotics and other medications to treat symptoms
  • Catheterization-- the placement of a tube into the body to drain urine (See: Urinary catheters )

Long-term treatment involves correcting the cause of the blockage. This may involve:

Surgery may also be needed for other disorders that cause blockage of the urethra or bladder neck.



Support Groups:



Expectations (prognosis):

If the acute obstruction is quickly relieved, symptoms usually go away within hours to days. If untreated, the disorder causes progressive damage to the kidneys. It may eventually lead to high blood pressure or kidney failure .



Complications:

Calling your health care provider:

Call your health care provider if you have decreased urine output, difficulty urinating, flank pain, or other symptoms of acute bilateral obstructive uropathy.



Prevention:

You may not be able to prevent this condition. Routine annual physicals with a primary care doctor are recommended. If your doctor finds you have acute obstructive uropathy, you should be referred to the nearest emergency room and seen by a urologist.



References:

Wein AJ, et al. Campbell-Walsh Urology. 9th ed. St. Louis, Mo: WB Saunders; 2007.

Goldman L, Ausiello D, et al. Cecil Textbook of Medicine, 22nd ed. Philadelphia, Pa: WB Saunders; 2004:741-742.




Review Date: 1/24/2008
Reviewed By: Marc A. Greenstein, D.O., F.A.C.O.S. Urologist, Somerset Medical Center in Somerville, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com


Find What You Need

Events
Careers
Foundation
About Us
Contact
Directions
News
Social Media Agreement
Joint Notice
Web Privacy Policy
WDH Staff Portal

Centers & Services

Cancer Center
Cardiovascular Care
Joint Replacement
Women & Children's
Physician Offices
Other Services

Conditions & Treatments

Health Library

Support Services

Support Groups
Care-Van
Dental Center
Social Work
Food & Nutrition
Integrative Wellness
Spiritual Care
Concerns & Grievances
Homecare and Hospice

For Patients

Pay Your Bill Online
Pricing Estimates
Financial Assistance
Interpreter Services
Surgery Preparation
Medical Record Request
Advance Directives
Clinical Research & Trials

For Healthcare Professionals

Work and Life
Financial Well-Being
Career and Growth

The Wentworth-Douglass Health System includes:

 

Address

Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100