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Ichilov Medical Center
Urology

Treatment of Ureteral Obstruction in Israel

Ureteral obstruction is a difficult outflow of urine. Over time, it leads to acute renal failure.

Causes

Obstruction of urine outflow can be caused by mechanical compression of the urinary canal at its usual narrowing points. This defect can occur at any section of the urinary tract. Children most often have congenital pathologies, while adults have acquired conditions. The causes of ureteral obstruction include renal pelvis tumors, kidney or bladder stones, and urethral stricture.

Symptoms of Ureteral Obstruction

A clear symptom of the condition is painful urination. The pain is associated with internal pressure on the entire urinary system or the kidney capsule. The degree of pain depends not on the strength of the stretching but on the speed. If the cause of the blockage is a stuck stone, the pain for the patient is excruciating, radiating to the lower abdomen, labia, and testicles. The chronic form of the disease may present with low pain levels or be nearly painless, yet it has the same destructive effect on the kidneys.

Diagnosis of Ureteral Obstruction in Israel

In Israel, based on symptoms, the doctor prescribes an examination of the urinary tract. Modern diagnostic methods include urethrocystography and urethrocystoscopy. To determine the condition of the bladder neck, a urine flow rate analysis is performed using uroflowmetry.

Treatment of Ureteral Obstruction in Israel

Any form of urinary tract obstruction requires, first and foremost, the elimination of the primary causes. A temporary measure until the situation stabilizes is the placement of a catheter in the ureter or diverting it to the lower suprapubic area of the abdomen. If the disease occurs in the context of an infection, surgical intervention is not required until normal indicators are restored (fluid, electrolyte, acid-base balance). If it concerns retroperitoneal lymphoma, the pathology can be addressed through radiation therapy. Severe deformation of the urinary tract, accompanied by the development of infection, can incapacitate the kidney within just a few days. The task of specialists in Israel is to take all possible measures to correct urinary tract obstructions and preserve kidney function fully or partially. Some types of cancer require replacement of the bladder with an artificial one. Thus, the treatment of ureteral obstruction necessitates the application of all types of therapy, according to the causes of the disease.

Prevention

Timely diagnosis of diseases and conditions that lead to ureteral obstruction.

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