Chronic unilateral obstructive uropathy

Alternative names

Unilateral chronic obstructive uropathy; Chronic ureteral obstruction

Definition

According to best urologist in Janakpuri, it is a condition in which there is a prolonged blockage of one of the ducts (ureters) that drains urine from the kidneys.

Unilateral obstructive uropathy usually occurs when kidney or ureteral stones block the flow of urine. The urine is dammed and causes a swelling of the kidney (hydronephrosis).

Among the risks of suffering from unilateral obstructive uropathy are:

• Kidney stones
• Tumours in surrounding structures such as the uterus, cervix, or lymph nodes
• Ureteral stones and tumours

According to urologist in Janakpuri, Chronic unilateral obstructive uropathy occurs in approximately 5 out of every 1000 people.

Symptoms

• Abdominal pain in the lower right or left ventral area
• Back pain that can occur on one side only
• Blood in the urine
• Urgent need to urinate
• Frequent need to urinate at night
• Painful urination
• Side pain that can occur on only one side, but can also be felt in the groin, genitals or thigh
• Urinary infection

Signs and tests

The urologist in West Delhi will perform a physical examination, which includes palpation of the abdomen. The test may reveal a swollen kidney.
A measurement of blood pressure may reveal high blood pressure. A urinalysis can show blood in the urine and a urine culture can determine if the person has an infection.
Kidney swelling or obstruction of the ureter may appear in these tests:

• Abdominal ultrasound
• Intravenous pyelogram (IVP)
• Abdominal or renal CT

Treatment

The goal of treatment is to reduce or eliminate the obstruction.

The stents or drains placed in the ureter or renal pelvis may provide relief of symptoms in the short term.

A nephrostomy tube, which drains urine from the kidney through the back, may be used to relieve the obstruction.

Surgery at kidney hospital in Palam to repair the cause of the blockage usually corrects the problem.

Expectations (prognosis)

This condition causes damage to the urinary tract and can cause permanent damage to the kidneys. If only one kidney is involved, the other kidney usually continues to function and there is no failure or kidney failure.

Complications

• Chronic or recurrent urinary infection
• Arterial hypertension
• Permanent failure of the affected kidney (chronic renal failure)

Situations that require medical assistance

The person should consult with the best urologist in West Delhi if they have pain in the flank or other symptom of chronic unilateral obstructive uropathy.

If this condition has already been diagnosed by urologist in Palam, it should be consulted if the symptoms worsen or persist despite treatment or if new symptoms develop.

Prevention

If the person is prone to kidney stones, he should drink plenty of water (6 to 8 glasses a day) to reduce the likelihood of kidney stones forming.

A diet low in sodium and oxalate, and high in citrate can reduce the risk of developing kidney stones based on calcium, so it is recommended to consult a nutritionist to obtain more information about these diets.

UTIs should be treated promptly and thoroughly at Kidney hospital in West Delhi.