Failure of Urinary Drainage Upper Urinary

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Introduction 104

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Presenting Signs and Symptoms 104

10.2.1

Patient Presentation 104

10.2.2

Unilateral Upper Urinary Tract Obstruction

104

10.2.3

Bilateral Upper Urinary Tract Obstruction

105

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Diagnostic Evaluation 105

10.3.1

Patient History 105

10.3.2

Physical Examination 106

10.3.3

Concurrent Medical Evaluations 107

10.3.4

Analgesia 107

10.3.5

Laboratory-Based Evaluation 107

10.3.6

Radiographic Evaluation 108

10.3.6.1

Traditional Diagnostic Imaging 108

10.3.6.2

Noncontrast Helical Abdominal/Pelvic CT

108

10.3.6.3

Ultrasonography 110

10.3.6.4

Magnetic Resonance Imaging 111

10.3.6.5

Diuretic Renography 111

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Acute Urologic Management 111

10.4.1

Temporary Interventions 111

10.4.1.1

TemporaryDrainage Procedures:

Recommendations 112

10.4.1.2

TemporaryDrainage Procedures in

Pregnancy 112

10.4.1.3

Comparison of Temporary Drainage

Techniques 113

10.4.1.4

Summary 113

10.4.2

Immediate Definitive Interventions 114

10.4.2.1

Immediate Shock Wave Lithotripsy 114

10.4.2.2

Immediate Definitive Treatment in

Pregnancy 114

10.4.2.3

Postobstructive Diuresis 115

10.4.2.4

Summary 116

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Delayed Definitive Interventions 116

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Conclusion 116

References 116

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