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Urinary tract obstruction

Also known as Urinary Obstruction and Obstructive Uropathy

Urinary retention, also known as ischuria, is a lack of ability to urinate. It is a common complication of benign prostatic hyperplasia (BPH), though it can also be caused by:

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with urinary tract obstruction, 64% report having retention of urine, 45% report having blood in urine, and 42% report having side pain. The symptoms that are highly suggestive of urinary tract obstruction are retention of urine, blood in urine, symptoms of prostate, symptoms of bladder, and excessive urination at night, although you may still have urinary tract obstruction without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with urinary tract obstruction often receive urinalysis, hematologic tests, radiographic imaging procedure, rectal examination, prostate specific antigen measurement, x-ray computed tomography, ultrasonography and endoscopy and endoscopic biopsy of the urinary tract .

Common Medications

The most commonly prescribed drugs for patients with urinary tract obstruction include tamsulosin (flomax), finasteride (propecia), dutasteride (avodart), terazosin, doxazosin, alfuzosin (uroxatral), psyllium, tadalafil (cialis), silodosin (rapaflo), hydrochlorothiazide / valsartan, imipramine, darifenacin (enablex) and vardenafil (levitra) .

Tamsulosin (Flomax)
$65
(28 days)
Finasteride (Propecia)
$37
(28 days)
Dutasteride (Avodart)
$97
(28 days)
Terazosin
$8
(28 days)
Doxazosin
$8
(28 days)
Alfuzosin (Uroxatral)
$98
(28 days)
Psyllium
$11
(28 days)
Tadalafil (Cialis)
$295
(28 days)
Silodosin (Rapaflo)
$99
(28 days)
Imipramine
$29
(28 days)
Darifenacin (Enablex)
$125
(28 days)
Vardenafil (Levitra)
$94
(28 days)

Who is at risk?

Groups of people at highest risk for urinary tract obstruction include age 75+ years, sex == male and age 60-74 years.

Age

< 1 years
0.2x
1-4 years
0.1x
5-14 years
0.1x
15-29 years
0.4x
30-44 years
0.6x
45-59 years
0.9x
60-74 years
2.6x
75+ years
2.6x

Sex

Male
1.9x
Female
0.4x

Race/Ethnicity

Black
0.6x
Hispanic
0.6x
White
1.2x
Other
1.3x
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