DRUG TREATMENT OF ACUTE AND CHRONIC KIDNEY DISEASES WITH OBSTRUCTIVE UROPATHY (LITERATURE REVIEW)
DOI:
https://doi.org/10.54890/.v3i3.1041Abstract
Obstructive uropathy is a common cause of acute and chronic kidney disease. Urinary tract decompression is the single most beneficial aspect of treatment; renal failure is often reversible, and the long-term renal prognosis is generally good. Follow-up care is an important but underestimated adjunct to surgical treatment. Acute relief of obstruction is often complicated by sodium and potassium imbalance and post-obstructive diuresis. The principles of long-term
management are the same as for other forms of chronic kidney disease. Purpose of the study: optimization of methods of treatment of obstructive uropathy in different age groups and improvement of the population. Material and methods: the work is based on the results of examination and treatment of pediatric and adult patients with congenital obstructive diseases of the urinary tract, who were treated at the NG MH KR Center for Urology and the Department of Urology of the NCM&D. Conclusions: the use of drug therapy is advisable only after surgical correction of obstructive uropathy, which is based on operations to normalize the passage of urine.
Keywords:
obstructive uropathy, nephropathy, decompression, electrolyte disorders, kidney failure, pyelonephritis, сhronic kidney disease.References
1. Кабаев Б.А., Усупбаев А.Ч., Садырбеков Н.Ж., Кожомкулова К.А., Периоперационная антибиотикопроффилактика в хирургической урологии (Учебно- методическое пособие). Бишкек: КГМА; 2021. 41 с.
2. Tseng TY, Stoller ML. Obstructive uropathy. 2009; 25(3):437–443. https://doi.org/10.1016/j.cger.2009.06.003
3. Mourmourisa PI, Chirasb T, Papatsorisa AG. Obstructive Uropathy: From Etiopathology to Therapy. World J Nephrol Urol. 2014;3(1):1-6. https://doi.org/10.14740/wjnu154w
4. Steddon S, Chesser A, Cunningham J, Ashman N. Oxford Handbook of Nephrology and Hypertension. 2nd Edition. Oxford University Press; 2014. 726 p.
5. Marshall JR, Haber J, Josephson EB. An evidence-based approach to emergency department management of acute urinary retention. Emerg Med Pract. 2014; 16(1):1-24.
6. Курбаналиев Р.М., Усупбаев А.Ч., Еркович А.А., Колесниченко И.В. Мониторинг врожденных пороков развития мочевыделительной системы. Вестник КГМА им. И.К.Ахунбаева. 2017;3:143–148.
7. Boettcher S, Brandt AS, Roth S, Mathers MJ, Lazica DA. Urinary retention: benefit of gradual bladder decompression - myth or truth? A randomized controlled trial. 2013;91:140–144. https://doi.org/10.1159/000350943
8. Chávez-Iñiguez JS, Navarro-Gallardo GJ, Medina-González R, Alcantar-Vallin L, García-García G. Acute Kidney Injury Caused by Obstructive Nephropathy. 2020: 8846622. https://doi.org/10.1155/2020/8846622
9. Murnaghan GF. The physiology of hydronephrosis. Postgrad Med J.1958;34(389):143–148.
10. Cohen EP, Sobrero M, Roxe DM, Levin ML. Reversibility of long-standing urinary tract obstruction requiring long-term dialysis. Arch Intern Med. 1992;152(1):177-179.
11. Hiatt MJ, Ivanova L, Trnka P, Solomon M, Matsell DG. Urinary tract obstruction in the mouse: the kinetics of distal nephron injury. Lab Invest. 2013;93:1012–1023. https://doi.org/10.1038/labinvest.2013.90
12. Кабаев Б.А., Кубанычбек у Б., Рыскулбеков Н.Р., Кырбашев К.Д., Усенбаев Б.О., Султанов Б.М. Особенности послеоперационных инфекционных осложнений в урологии. Вестник КГМА им. И.К. Ахунбаева. 2021;5-6:35–42.
13. Harrison S, Lasri A, Jabbour Y, Slaoui A, Djamal J, Karmouni T et al. Post-Obstructive Diuresis: Physiopathology, Diagnosis and Management after Urological Treatment of Obstructive Renal Failure. Open Journal of Urology. 2018;8(9):267–274.
14. Muldowney FP, Duffy GJ, Kelly DG, Duff FA, Harrington C, Freaney R. Sodium diuresis after relief of obstructive uropathy. 1966; 274:1294–1298. https://doi.org/10.1056/NEJM196606092742304
15. Moore FD. Common patterns of water and electrolyte change in injury, surgery and disease. N Engl J Med. 1958;258(7): 325–33. https://doi.org/10.1056/NEJM195802132580705.
16. Foster MC, Upsdell SM, O'Reilly PH. Urological myths. BMJ. 1990;301(6766):1421–1423. https://doi.org/10.1136/bmj.301.6766.1421
17. Nyman MA, Schwenk NM, Silverstein MD. Management of urinary retention: rapid versus gradual decompression and risk of complications. Mayo Clin Proc. 1997;72:951–956. https://doi.org/10.1016/S0025-6196(11)63368-5
18. Yap E, Salifu M, Ahmad T, Sanusi A, Joseph A, Mallappallil M. Atypical Causes of Urinary Tract Obstruction. 2019: 4903693. https://doi.org/10.1155/2019/4903693
19. Halbgewachs C, Domes T. Postobstructive diuresis: pay close attention to urinary retention. Can Fam Physician. 2015;61:137–142.
20. Roth JD, Lesier JD, Casey JT, Szymanski KM, Whittam BM, Misseri R. Incidence of pathologic postobstructive diuresis after resolution of ureteropelvic junction obstruction with a normal contralateral kidney. 2018;14:557.e1–557.e6. https://doi.org/10.1016/j.jpurol.2018.07.012
21. Yarger WE, Aynedjian HS, Bank N. A micropuncture study of postobstructive diuresis in the rat. J Clin Invest. 1972;51(3):625-37. https://doi.org/10.1172/JCI106852