Home Care , Lab Tests, X-rays, Doctors AT HOME
24 hours a day
<<Previous _____ Next>>
Bladder neck obstruction
This
is a very commonly seen problem especially in elderly men.
It can also be seen in young people after anesthesia.
Acute bladder neck obstruction causes severe discomfort to the patient
and so is never overlooked.
However
chronic or acute bladder neck obstruction in a patient who is not able
to communicate can only be picked up from careful clinical observation
and examination.
- Prominence of the hypogastrium in a patient lying on his back must raise suspicion of acute bladder neck obstruction.
- The urinary bladder is palpated as a soft well defined fixated mass
in the hypogastrium with a smooth surface.
Often during the palpation we may note the patient’s discomfort or even occasional urinary overflow incontinence. - Percussion reveals dullness, which extends superiorly.
The patient in the above photograph has a urinary catheter, which was changed 2 days ago. He did not show any signs of discomfort, his conscious state was impaired as a result of multiple strokes, serious respiratory tract infection, hypoxia and dehydration.
The urinary catheter was changed. The bladder contained 750ml of offensive
dark urine with a lot of debris.
The urine analysis showed:
- Protein=2,5 g/L
- Ketones= ++
- Hb= +++
- Leucocytes> 100
- Red cells= 50-60 κ.ο.π.
- Numerous microorganisms.
It is very likely that the patient has urinary bladder cancer or even
a colovessical fistula.
The patient was taken to the hospital for further treatment.
<<Previous _____ Top _____ Next>>