[Medical management of post-obstruction diuresis syndromes].
The presence of urinary tract obstruction affects the proximal urinary tract by altering renal filtration and excretion functions, resulting in accumulation of electrolytes. Many pathophysiological mechanisms are also involved during obstruction and may be expressed secondarily. For example, relief of obstruction, which restores free flow of urine, is accompanied by marked diuresis and electrolyte disorders. The post-obstruction diuresis syndrome can lead to dehydration, or even shock and acute renal failure. Strict and specialized monitoring is required during the post-obstruction phase. Medical management is designed to avoid serious haemodynamic and metabolic disorders.
Van Glabeke
Emmanuel
E
Service de Chirurgie Viscérale et Urologique, CHI André Grégoire, Montreuil, France. emmanuel.van-glabeke@chi-andre-gregoire.fr
Corsia
Gérard
G
Belenfant
Xavier
X
D004322:Drainage; D006801:Humans; D011141:Polyuria / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D013577:Syndrome; D014517:Ureteral Obstruction / Q000503:physiopathology / Q000601:surgery*
Prise en charge médicale des syndromes de levée d'obstacle.