Management of Upper Urinary Tract Obstruction

By: Siti Nurulismah bt Che 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:

Analgesic Antipyretic Antibiotic

Treat underlying cause:

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