Chronic unilateral obstructive uropathy

Alternative names:

obstructive uropathy - unilateral - chronic; ureteral obstruction - chronic

Symptoms:

• flank pain
  • severe
  • may travel or radiate to the groin, genitals, thigh
  • colicky or spasmodic
  • on one side

• back pain, may be on only one side
• abdominal pain
  • right lower quadrant
  • left lower quadrant

• blood in the urine
• urination, painful
• urinary frequency/urgency, increased
• a need to urinate at night

Signs and tests:

An examination of the abdomen reveals an enlarged kidney. Blood pressure may be elevated. A urinalysis may reveal blood in the urine. A urine culture may reveal an infection.

Hydronephrosis or obstruction of the ureter may appear on a(n):

• IVP
• abdominal ultrasound
• kidney or abdominal CT scan