Flashcards in Urinary Obstruction Deck (17)
where are three locations where obstruction can occur to cause urinary tract obstruction ?
state some mural causes of obstruction?
state some extramural causes of obstruction?
state some symptoms of chronic urinary obstruction ?
renal failure (hydronephrosis)
voiding symptoms - frequency, dribbling, poor stream, hesitancy, overflow incontinence
what could be assessed on a patient with urinary obstruction ?
mass in loin
palpable distended bladder
large prostate on PR exam
waht imaging could be done for obstruction?
US - hydronephrosis
radionucleotide imaging - for renal function
retrograde/ anterograde ureterogram
what are three management options for urinary obstruction?
state some complications of ueteric stents?
state some causes of urethral strictures?
Infection: e.g. gonorrhoea
Balantitis xerotica obliterans
what infection can cause narrowing of the urethral
what is Balantitis xerotica obliterans
chronic, progressive, sclerosing inflammatory dermatosis of unclear etiology.
state some voiding symptoms ?
pis en deux
what is pis en deux?
a desire to pass urine shortly after finishing voiding
what three things should be examined for urethral stricture?
feel urethra through penis
what three investigations should be done for urethral stenosis?
↓ peak flow rate
↑ micturition time
Urethroscopy and cystoscopy
what is post obstructive diuresis?
Kidneys produce a lot of urine in the acute phase
after relief of obstruction.
Must keep up c¯ losses to avoid dehydration.