Session 12 Flashcards
(4 cards)
Extraluminal causes of ureteric obstruction?
Lymph node mets from breast/prostate (retroperitoneal malignancy)
Direct obstruction from bladder cancer
Retroperitoneal fibrosis
Cause of acute ureteric obstruction?
What is pyonephrosis? What can it lead to?
Complication in post renal kidney failure?
Usually calculus or blood clot
Infection of the kidney collecting system, death from sepsis
Hyperkalaemia
Upper kidney tract drainage options?
What is pelviureteric junction obstruction?
Treatment?
JJ stent
Nephrostomy
Congenital, causing antenatal hydronephrosis, loin pain, Dietal’s crisis (worse after alcohol/high fluid intake)
Pyeloplasty (laparoscopic)
Causes of retroperitoneal fibrosis?
Causes of urinary retention?
Post obstructive diuresis?
Idiopathic, malignant, auto immune IG-G4 disease
UTI,neurological,
Offloading of salt and water from previous chronic retention, can become severe leading to dehydration,