Abstract
The geriatric population presents a unique challenge to the health care provider. The incidence of common lower urinary tract disorders, such as benign pro-static hypertrophy (BPH), prostate cancer and incontinence increase dramatically with aging. In their more severe forms, these disorders may predispose to hydronephrosis and ultimately to renal deterioration. This review of lower urinary tract and ureterovesical junction (UVJ) physiology and patho-physiology, will focus on: (1) anatomic UVJ obstruction from prostate cancer, or severe bladder hypertrophy; (2) functional obstruction from compression or stretching of the UVJ during bladder distention from urinary retention; and (3) bladder decompensation in the female. We will present a diagnostic and treatment algorithm and discuss future trends in the geriatric population. Clearly, the geriatric health care provider always must consider the lower urinary tract when confronted with acute renal deterioration, because prompt diagnosis and treatment of significant, lower-urinary-tract disease can maximize recovery of renal function.
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© 2000 Springer Science+Business Media Dordrecht
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Sutaria, P.M., Staskin, D.R. (2000). Hydronephrosis and Renal Deterioration in the Elderly due to Abnormalities of the Lower Urinary Tract and Ureterovesical Junction. In: Oreopoulos, D.G., Hazzard, W.R., Luke, R. (eds) Nephrology and Geriatrics Integrated. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4088-1_15
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DOI: https://doi.org/10.1007/978-94-011-4088-1_15
Publisher Name: Springer, Dordrecht
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