Chapter

Urinary tract obstruction in cancer patients

Marie Philipneri and Bahar Bastani

in Cancer and the Kidney

Second edition

Published on behalf of Oxford University Press

Published in print November 2010 | ISBN: 9780199580194
Published online November 2012 | e-ISBN: 9780191753404 | DOI: http://dx.doi.org/10.1093/med/9780199580194.003.0010

Series: Oxford Clinical Nephrology Series

Urinary tract obstruction in cancer patients

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Malignant upper or lower urinary tract obstruction is an ominous sign in cancer patients. It may be due to direct tumor invasion, retroperitoneal lymphadenopathy, or external tumor compression. The obstruction usually develops slowly, and therefore may produce only a few signs and symptoms or changes in the urinalysis. Every attempt should be made to avoid extensive surgical intervention or the placement of the chronic indwelling catheter in these often debilitated patients. The endourologic procedures of ureteral stenting, percutaneous nephrostomy, and intermittent bladder catheterization are effective palliative means.

Chapter.  9781 words.  Illustrated.

Subjects: Nephrology ; Medical Oncology

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