Bilateral Hydroureteronephrosis with a Hypertrophied, Trabeculated Urinary Bladder
- Author:
Showkathali Iqbal
- Publication Type:Journal Article
- Keywords:
hydronephrosis, prostatic hyperplasia, urinary bladder neck obstruction, ultrasonography,
- From:Malaysian Journal of Medical Sciences
2017;24(2):106-115
- CountryMalaysia
- Language:English
-
Abstract:
Bilateral hydroureteronephrosis involves the dilatation of the renal pelvis, calyces and
ureter; it develops secondary to urinary tract obstruction and leads to a build-up of back pressure
in the urinary tract, and it may lead to impairment of renal function and ultimately culminate
in renal failure. Although clinically silent in most cases, it can be diagnosed as an incidental
finding during evaluation of an unrelated cause. In a minority of patients, it presents with signs
and symptoms. Renal calculus is the most common cause, but there are multiple non-calculus
aetiologies, and they depend on age and sex. Pelviureteric junction obstruction, benign prostatic
hypertrophy, urethral stricture, neurogenic bladder, retroperitoneal mass and bladder outlet
obstruction are some of the frequent causes of hydroureteronephrosis in adults. The incidence of
non-calculus hydronephrosis is more common in males than in females. Ultrasonography is the
most important baseline investigation in the evaluation of patients with hydronephrosis. Here,
we report a rarely seen case of bilateral hydroureteronephrosis associated with a hypertrophied,
trabeculated bladder in an adult male cadaver, suspected to be due to a primary bladder neck
obstruction, and analyse its various other causes, clinical presentations and outcomes.
- Full text:P020170509547030255991.pdf
