Management of Upper Urinary Tract

Obstruction

By: Ismah Haron

Relief the obstruction:

• Ureteral stent- Procedure is along with cystoscopy and

fluroscopy/x ray- Side effects; nil or frequency, dysuria,

hematuria- Take note if feverish, severe hematuria, loin

pain

• Nephrostomy tube

Source: http://www.mountnittany.org

Source: http://radiographics.rsna.org

Source: http://www.insideradiology.com.au

Reduce the symptoms:

Treat underlying cause:

• Analgesic• Antipyretic• Antibiotic

Stones

• Pass spontaneously• Extra-corporeal shockwave lithotripsy• Percutaneous nephrolithotomy• Endoscopic treatment - ureteroscope• Open nephrolithotomy/ureterolithotomy• Prevention from recurrence

Source: http://www.emedicinehealth.com

ESWL

Source: http://www.emedicinehealth.com

PCNL

Source: http://www.emedicinehealth.com

Endoscopic treatment

• Prevention from recurrence;- Increase fluid intake- Reduce Ca intake- Correct metabolic abnormalities- Treat infection- Urinary alkalization

THANK YOU