Feb 8, 2024
Techniques for drainage
A ureteral obstruction is a blockage in one or both of the ureters, which are tubes that carry urine from the kidneys to the bladder. Ureteric obstruction may be treated. Infection, fever, and discomfort are examples of basic symptoms that can quickly escalate to more dangerous ones including sepsis, loss of renal function, and even death if treatment is not received.
Urethral obstruction happens very often. Because it is treatable, severe complications are rare.
Numerous reasons, some of which are congenital (existing from birth), can lead to urinary blockage. Among them are:
Numerous internal (intrinsic) or exterior (extrinsic) factors, including the following, can cause urinary blockage:
Ureteric obstruction may not cause any symptoms at all. The indications and symptoms vary depending on the obstruction's location, severity, and rate of development as well as whether it affects one or both kidneys.
Signs and symptoms may include:
Certain congenital abnormalities may result in an increased risk of ureteral obstruction. The existence of kidney or bladder stones may further raise the chance of one of the ureters becoming blocked. This disease may arise as a result of tumours, blood clots, certain tissue growths, and enlarged lymph nodes, among other things.
Before delivery, ureteral obstruction diseases are often diagnosed by doctors during routine prenatal ultrasounds, which can reveal features of the developing baby, such as the kidneys, ureters, and bladder. Healthcare providers usually perform a second ultrasound after delivery to evaluate the kidneys.
If your doctor has any concerns, several of these scans and tests could be performed to identify an obstructed ureter:
The goal of ureteral obstruction treatment is to either clear the obstruction or avoid it altogether, which may help restore kidney damage. Antibiotics might be part of the treatment to get rid of infections that are connected.
If a ureteral obstruction is causing excruciating agony, you may need an urgent operation to remove the obstruction's urine from your body and temporarily alleviate the problems it has brought. Your urologist may suggest:
To keep the ureter open, a hollow tube known as a ureteral stent is inserted inside of it.
Percutaneous nephrostomy, in which a catheter is inserted through your back by your doctor to drain your kidneys directly.
A catheter, or tube inserted into the urethra, is used to link an external drainage bag to the bladder. This may be especially important if you also have problems with your bladder that cause insufficient renal discharge.
Your doctor can advise you on the best procedure to do alone or in combination. The comfort that drainage techniques provide might be either temporary or long-lasting, depending on your condition.
Surgical methods are used to address urinary obstructions. Your unique situation determines the type of procedure you require.
The following surgical methods are used in urinary obstruction surgery:
The main differences between different surgical techniques are the amount of time needed for recovery after surgery and the number and size of incisions created during the procedure. It is your urologist's decision what kind of procedure and surgical approach is best for treating your disease.
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