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Emergency treatment of urinary obstruction

Urinary obstruction is one of the medical problems that can lead to serious damage to the urinary system and in some cases even threaten a person's life. This condition occurs when the flow of urine is blocked in the kidneys, ureters, bladder, or urethra. Urinary obstruction may be caused by a variety of reasons, including kidney stones, tumors, urinary tract infections, or structural problems. This article examines the methods of emergency treatment of urinary obstruction.

Causes of urinary obstruction

Urinary obstruction may occur anywhere in the urinary tract, and depending on the location of the obstruction, different symptoms and treatment methods are needed. Common causes of urinary obstruction include:

1. Urinary stones: Kidney or bladder stones can block the urinary tract.
2. Benign prostatic hyperplasia (BPH): An enlarged prostate can lead to obstruction of urine flow in men.
3. Urinary tract infections: Infections Severe cases may cause swelling and obstruction of the urinary tract. Tumors: Tumors of the kidney, bladder, or other organs related to the urinary tract can cause obstruction. Physical injuries: Injury to the urinary tract, such as pelvic fractures or injuries to the urinary tract, can cause urinary obstruction. Congenital disorders: In Some people have congenital abnormalities such as congenital obstruction of the ureter, which causes urinary obstruction.

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symptoms of obstruction Urinary

Symptoms of urinary obstruction depend on the location and severity of the obstruction, but some common symptoms include:

• Severe pain in the lower back or abdomen, which is usually aggravated by movement or changing the body position. Chills in case of infection
• Nausea and vomiting
• Blood in urine (hematuria)

Diagnosis of urinary obstruction

Diagnosis of urinary obstruction is usually done with a combination of clinical examinations, imaging tests and diagnostic tests. Some common methods are:

1. Ultrasound: This non-invasive method is used to identify blockages in the kidneys and bladder. Ultrasound is usually the first choice to diagnose urinary obstruction. CT Scan: In more complex cases or when ultrasound does not provide enough information, CT scan can provide more detailed information about the obstruction and its causes. MRI: This method is also used to evaluate the structures inside the urinary tract. Cystoscopy: In some cases, through Endoscopy can see inside the bladder and check the obstruction.

Emergency treatment of urinary obstruction

Treatment of urinary obstruction depends on the cause and severity of the obstruction. In emergency cases, treatment should be started immediately to avoid serious complications.

1. Catheterization

In cases where there is urinary obstruction in the urethra or bladder, using a catheter to drain urine can be done as the first treatment. The catheter enters the bladder through the urethra and removes urine. This method can help reduce the pressure inside the urinary tract and prevent damage to the kidneys.

2. Drug treatment

If the cause of the blockage is an infection, treatment with antibiotics is necessary. If the cause is kidney stone obstruction, drugs such as pain relievers and stone dissolving drugs are used. Also, drugs such as alpha blockers can be used to reduce prostate muscle contractions in men with prostatic hyperplasia.

3. Treatment of kidney stones

If the obstruction is caused by kidney stones, emergency treatment may include the use of the following methods:

• Shock wave lithotripsy (ESWL): This method is used to break large stones into smaller pieces so they can be passed through the urine.
• Transportation or surgical treatment: In some cases when stones cannot be removed, surgery may be required.

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4. Surgery and tumor removal

If the obstruction is caused by a tumor, surgical removal of the tumor may be necessary. This surgery is usually performed using endoscopic methods or open surgery.

5. Emergency treatment for prostatic hyperplasia

In men who have prostatic hyperplasia and have urinary obstruction, emergency treatment may include using a catheter and alpha-blocker drugs to relax the prostate muscles. In severe cases, surgery may be performed to remove part of the prostate.

Prevention of urinary obstruction

Prevention of urinary obstruction varies depending on the cause, but some general tips include:

• Drinking enough water to prevent stones from forming Kidney.
• Rapid treatment of urinary infections.
• Prostate health care and see a doctor in case of symptoms of prostate problem.
• Regular follow-up of kidney and urinary diseases treatments.

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Conclusion

Urinary obstruction is an emergency situation that requires quick and effective treatment. Various treatments such as catheter use, drug therapy, stone crushing, surgery and other methods can help to remove the blockage. Quick diagnosis and proper treatment are very important to prevent further damage to the kidneys and other organs of the urinary system. It is possible to prevent this condition by following some health and treatment tips, and it is very necessary to see a doctor regularly to control diseases related to the urinary system.

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