Aim: To describe the epidemiological, clinical, etiologic and therapeutic aspects\nof patients with acute obstructive renal failure at the Medical Surgical\nCenter of Urology (MSCU). Materials and methods: this was a descriptive retrospective\nstudy of 106 patient records treated for acute renal failure from\nJanuary 2012 to December 2016. Patients came for spontaneous consultation\nor were referred. They had benefited from a clinical and paraclinical assessment\nat the end of which the diagnosis of acute renal failure was retained and\nthen an effective management at the MSCU. The variables studies were clinical,\nparaclinical, therapeutic and progressive. The treatment included: hemodialysis,\nurinary diversion (suprapubic, urethrovesical and ureteral), trans-urethral\nresection of the prostate, trans-urethral resection of the bladder, nephrostomy,\nendoscopic incision of catheter valves, posterior urethra or laparoscopic\nnephroureterectomy as indicated. The emergency treatments consisted of removing\nthe obstacle and the etiological treatment was done later. External\nfollow-up consultation varied by etiology. Results: In 4 years we had treated\n106 patients, a frequency of 26.5%. The average age was 47.83 years with extreme\nof 2 and 80 years old. The sex ratio was 68 men for 38 women. The\nmean serum creatinine level was 37.8 mg/l (335 �¼mol/l). The etiologies were:\nprostatic pathologies (n = 38), lithiasic pathologies (n = 20) and gynecological\npathologies (n = 18). The treatments were: endoscopic resection of prostate (n\n= 24), bladder (n = 6), posterior urethral valves (n = 4), JJ probe (n = 27) and\nnephrostomy (n = 23). The result was good (normalization of creatinine serum)\nin 79 patients, the persistence of elevated serum creatinine was observed\nin 4 patients and 18 patients died. Conclusion: Acute obstructive renal failure\nis a common diagnosis in our exercise setting at MSCU where it can be managed\nwith respect to our technical platform.
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