Urinary Transport Disorder

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Medical History

Medical history (history of illness) represents an important component in the diagnosis of obstructive uropathy or refluxuropathy (urinary transport disorder/urinary retention). Family history Is there a history of frequent urinary tract disorders in your family? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). What complaints have you noticed? How long have these complaints … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Medical History

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Malformations of the genitourinary system, unspecified. Congenital ureteral outlet stenosis Megaureter – usually congenital dilation of one or both ureters (>10 mm). Spina bifida – malformation of the spine, in which there is only an incomplete vertebral arch closure. Blood-forming organs – immune system (D50-D90). Sarcoidosis – granulomatous … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Or something else? Differential Diagnosis

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Complications

The following are the most important diseases or complications that can be caused by obstructive uropathy or refluxuropathy (urinary transport disorder/urinary retention): Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Urinary stone formation (urolithiasis/nephrolithiasis). Urinary tract infection (UTI) Hydronephrosis (water sac kidney) – irreversible, sac-like expansion of the renal cavity system associated with destruction … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Complications

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin and mucous membranes Auscultation (listening) of the heart Auscultation of the lungs Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Examination

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Test and Diagnosis

1st-order laboratory parameters-obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing of suitable antibiotics for sensitivity / resistance). Renal parameters – urea, creatinine, if … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Test and Diagnosis

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Diagnostic Tests

Mandatory medical device diagnostics. Abdominal ultrasonography (ultrasound examination of abdominal organs) including urinary bladder and renal sonography. Optional medical device diagnostics – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification. I.v. pyelogram (synonyms: IVP; i.v. urogram; urogram; i.v. urography; excretory urography; excretory pyelogram; intravenous excretory … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Diagnostic Tests

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Surgical Therapy

Surgical treatment planning should consider the patient’s general condition and life expectancy in addition to the underlying cause. 1st order Perform endoscopic refluxoplasty (surgery to prevent reflux in the presence of ring muscle sphincter weakness). The success rate with this standardized method is about 95%.Antibiotic therapy in children with vesicoureteral reflux can halve the recurrence … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Surgical Therapy

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate obstructive uropathy or refluxuropathy (urinary transport disorder/urinary retention): Feeling of pressure in the area of the kidney or kidney pain due to urinary retention. Colicky pain / ureteral pain (ureteral pain), nausea (nausea), hematuria (blood in the urine) – in kidney stone or ureteral stone (ureteral stone). Fatigue, … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Symptoms, Complaints, Signs

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Causes

Pathogenesis (disease development) Obstructive uropathy results from a narrowing or obstruction of the outflow of urine from the kidney. The blockage causes urine to accumulate, dilating the upstream areas of the genitourinary tract. As it progresses, renal dysfunction occurs without adequate treatment. Vesicorenal reflux is an unphysiologic backflow of urine from the bladder through the … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Causes

Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Therapy

Basic therapy for urinary obstruction/urinary retention follows acute treatment and is based on the exact cause. General measures Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Review of permanent medication due topossible effect on the existing disease. Conventional non-surgical therapy methods Obstructive urography: acute therapy is … Urinary Transport Disorder, Obstructive Uropathy, Refluxuropathy: Therapy