title: [Treatment of patients with urinary tract obstruction and significant renal impairment].
abstract: Prognosis of renal function changes due to obstructive uropathy and prediction of remaining renal function after release of obstruction, have great impact on treatment we choose. There were analyzed various aspects of treatment and course of disease in 26 cases of obstructive uropathy with significant renal function impairment. It was found, that recovery of renal function after adequate kidney drainage was slower in cases of infravesical obstruction and vesicoureteral reflux in comparison with cases of ureteral obstruction. The renal function recovers more rapidly in cases with thicker parenchyma. Active surgical intervention and creation of adequate urine outflow from the obstructed kidney is method of choice at the beginning of treatment, even in cases with prolonged anamnesis of obstruction, significant renal failure and septic complications.
authors.affiliation: Clinic of Nephrourology, Vilnius University, Lithuania.
authors.forename: Henrikas
authors.initials: H
authors.lastname: Ramonas
authors.forename: Arūnas
authors.initials: A
authors.lastname: Zelvys
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy; D000368:Aged; D003404:Creatinine / Q000097:blood; D004322:Drainage; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000503:physiopathology* / Q000601:surgery*; D007668:Kidney / Q000503:physiopathology*; D007677:Kidney Function Tests; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012189:Retrospective Studies; D013997:Time Factors; D014517:Ureteral Obstruction / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery / Q000628:therapy*; D014545:Urinary Calculi / Q000503:physiopathology* / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000503:physiopathology* / Q000601:surgery / Q000628:therapy*
chemical_list: D003404:Creatinine