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[Nondilated obstructive anuria complicating urethrocystopexy].

N Bercault1, M Peneau, P Martin

  • 1Service de Réanimation, Médecine A, CHR Orléans La Source.

Journal D'Urologie
|January 1, 1990
PubMed
Summary
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Anuria after urethrocystopexy can cause obstructive uropathy due to ureteral obstruction. Prompt diagnosis via ultrasonography and urgent percutaneous nephrostomy are crucial for treatment.

Area of Science:

  • Urology
  • Nephrology

Background:

  • Ureteral obstruction can lead to anuria following urethrocystopexy.
  • This complication typically presents as obstructive uropathy.

Observation:

  • Two cases presented with anuria post-urethrocystopexy without observable urinary tract dilation.
  • Rupture of the collecting system with urinary extravasation occurred due to acute ureteral obstruction and furosemide use.

Findings:

  • Ultrasonography is the initial diagnostic step but may not always reveal obstruction.
  • Urgent percutaneous nephrostomy is identified as the most effective curative treatment.
  • Surgical intervention to free trapped ureters is frequently required.

Implications:

  • Highlights the importance of considering collecting system rupture in anuria post-urethrocystopexy.

Related Experiment Videos

  • Emphasizes the diagnostic limitations of ultrasonography in specific obstruction scenarios.
  • Underscores the critical role of prompt nephrostomy and potential ureteral release in managing this condition.