Obstructive uropathy – bilateral – chronic; Kidney failure – chronic blockage
Definition of Chronic bilateral obstructive uropathy
Chronic bilateral obstructive uropathy is a long-term blockage of urine flow from both kidneys. It is a slow blockage that gets worse over time.
Causes, incidence, and risk factors
The most common cause of chronic bilateral obstructive uropathy is a condition called . The kidneys produce urine in the normal manner but the urine cannot leave the bladder. Urine backs up, causing kidney swelling and damage.
Symptoms depend on the nature of the obstruction and where in the urinary tract the obstruction occurs.
Signs and tests
A physical exam may show swollen or tender kidneys. The bladder may be large and full. A rectal examination may reveal an enlarged prostate. may be high.
The goal of treatment is to remove the blockage. You may need to stay in a hospital for a short while.
Bilateral obstructive uropathy may be reversible if the blockage is corrected before kidney failure develops.
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. – 3/22/2010