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 diversion. This depends on the location and type of obstruction (occlusion).
    • Obstruction in the urinary bladder: transurethral (through the urethra) or suprapubic (above the pubic bone) urinary diversion (suprapubic catherization).
    • Suprapubic obstruction: ureteral splinting (ureteral catherization) or percutaneous nephrostomy (PCN; synonym: pyelostomy; this is the external diversion of urine (percutaneous, i.e., through the skin) from the renal pelvis through a nephrostomy catheter). The two procedures are considered equivalent in terms of urinary diversion.

Vaccinations

The following vaccinations are advised, as infection can often lead to worsening of the present disease:

  • Flu vaccination
  • Pneumococcal vaccination

Regular checkups

  • Regular medical checkups