PUV is the most common cause of severe obstructive uropathy
in children, affecting 1 in 5 000 - 8 000 boys.
This recommendation notes that VCUG should not be used routinely after a first febrile UTI, but should be reserved for use if RBUS reveals hydronephrosis, scarfing, or other findings suggestive of high-grade VUR or obstructive uropathy
. It may also be used in "other atypical or complex clinical circumstances." Level B evidence supports this "recommendation."
The care of patients with obstructive uropathy
In the mildest cases and in the most severe forms of fetal uropathy
, sonography alone is a good predictor of outcome, and invasive approaches based on fetal blood or fetal urine biochemistry are therefore unnecessary.
A small amount of population had Obstructive Uropathy
(2.54%), Wegener's Granulomatosis (1.69%) and Polycystic Kidney (1.69%) as the cause of End-Stage Renal Disease.
Our research objective was to study Candida species in urine samples of patients with urinary tract infections (UTIs) associated with obstructive uropathy
and to investigate the virulence factors of the isolated Candida.
Ureteral stones frequently cause renal colic, which may lead to obstructive uropathy
. Minimally invasive surgery is the preferred treatment modality for ureteral stones.
Firstly, one should identify patients at risk, such as those with chronic renal disease, on anti-hypertensives, with obstructive uropathy
, with myopathy, elderly patients with urea greater than 8.9 mM, and with acute illness such as acute rheumatic fever (ARF) or diabetic ketoacidosis (DKA).
The association remained significant (OR 2.5) in a logistic regression analysis of 368 patients, even after adjusting for such cofactors as family history of uropathy
, male gender, young age, urinary tract dilation on ultrasonograph); high serum C-reactive protein at admission, and urine collection technique.
Renal failure is often identified with a specific precipitating event, such as obstructive uropathy
, which can lead to obstructive nephropathy.
One young female had low backache and obstructive uropathy
due to retroperitoneal fibrosis (RPF) as a paraneoplastic manifestation of gastric adenocarcinoma.
In cases of ureteral obstruction, symptoms will present as a unilateral obstructive uropathy
. Higher degrees of ureteral obstruction can then progress to hydronephrosis and renal failure.