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Bladder neck disease and kidney damage

Anna Mudoni, Francesco Caccetta, Maurizio Caroppo, Fernando Musio, Antonella Accogli, Maria Dolores Zacheo, Domenica Maria Lucia Burzo, Giancamillo Carluccio, Vitale Nuzzo
  • Anna Mudoni
    Department of Nephrology and Dialysis, “Cardinale G. Panico” Hospital, Tricase (Lecce), Italy | mudonia@libero.it
  • Francesco Caccetta
    Department of Nephrology and Dialysis, “Cardinale G. Panico” Hospital, Tricase (Lecce), Italy
  • Maurizio Caroppo
    Department of Nephrology and Dialysis, “Cardinale G. Panico” Hospital, Tricase (Lecce), Italy
  • Fernando Musio
    Department of Nephrology and Dialysis, “Cardinale G. Panico” Hospital, Tricase (Lecce), Italy
  • Antonella Accogli
    Department of Nephrology and Dialysis, “Cardinale G. Panico” Hospital, Tricase (Lecce), Italy
  • Maria Dolores Zacheo
    Department of Nephrology and Dialysis, “Cardinale G. Panico” Hospital, Tricase (Lecce), Italy
  • Domenica Maria Lucia Burzo
    Department of Nephrology and Dialysis, “Cardinale G. Panico” Hospital, Tricase (Lecce), Italy
  • Giancamillo Carluccio
    Department of Urology “Cardinale G. Panico” Hospital, Tricase (Lecce), Italy
  • Vitale Nuzzo
    Department of Nephrology and Dialysis, “Cardinale G. Panico” Hospital, Tricase (Lecce), Italy

Abstract

Primary bladder neck obstruction (PBNO) was first described in men by Marion in 1933. The precise cause of PBNO has not been clearly elucidated. This paper review the theories on etiology, clinical presentation, diagnostic evaluation and treatments for PBNO. Also this paper focuses on management of patients with complications like acute urine retention, hydroureteronephrosis and severe renal failure. The treatment options for men and women with PBNO include careful clinical evaluation, pharmacotherapy with alpha-blockers and surgical intervention.

Keywords

Primary bladder neck obstruction; Acute urine retention; Renal failure; Ultrasound; Videourodynamics; Alpha-blockers

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Submitted: 2015-01-23 16:26:22
Published: 2014-12-30 00:00:00
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Copyright (c) 2014 Anna Mudoni, Francesco Caccetta, Maurizio Caroppo, Fernando Musio, Antonella Accogli, Maria Dolores Zacheo, Domenica Maria Lucia Burzo, Giancamillo Carluccio, Vitale Nuzzo

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