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Ureteral Obstruction

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  • Ureteral Obstruction

     Pathophysiology

    Ureteral Obstruction is structural or functional hindrance of normal urine flow, sometimes leading to renal dysfunction (obstructive nephropathy). Ureteral obstruction can be classified as intraluminal or extraluminal. Intraluminal causes include kidney stones, blood clots and scarring; these conditions usually cause unilateral obstruction and Extraluminal causes include several conditions related to enlarged masses that place pressure on the ureter and create obstructions.

  • Ureteral Obstruction

     Disease statistics

    Among the 127 patients who underwent surgical treatment for Crohns disease atTohoku University Hospital, a ureteral obstruction in 4 patients (3.1%).

  • Ureteral Obstruction

     Disease treatment

    Stents or drains placed in the ureter or in a part of the kidney called the renal pelvis may provide short-term relief of symptoms. Long-term relief from obstructive uropathy requires surgery. A Foley catheter, placed through the urethra into the bladder, may also be helpful.

  • Ureteral Obstruction

     Major research

    Pyeloplasty, in which the blockage is located and cut away or divided with a laser Ureteral reimplantation, in which the obstructed part of the ureter is cut away and the ureter is then sewn back together. In either surgery, the surgeon may also place a stent — a small rigid tube — to help hold the ureter open — that is then removed in a later procedure when the ureter has healed.

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