DOI: 10.36347/sjams.2014.v02i03.034

Pages: 1041-1044

Bladder outlet obstruction describes various urological conditions in which urine outflow from the bladder through the urethra is impeded. It is a common presentation in our practice and often complicated by renal impairment, probably due to late presentation of patient. The objective of present study is to ascertain renal function of patient with BOO at presentation vis-à-vis their duration of symptom and to find out common causes of BOO in our environment. All patients who presented with BOO between January 2010 and December 2012 were studied. Details of their renal function at presentation were reviewed. A total of hundred patients aged 8-90 years were studied, modal age group were 61-70 (43%) in all 41% of patient had urethra stricture, 40% had benign prostatic hyperplasia while 19% had carcinoma of the prostate. All patients had their renal status assessed at presentation, 71% had renal ultrasound scanning while all patient had urea, creatinine and their GFR estimated. Ten percent of patient had poor corticomedullary differentiation, 20% had elevated urea, and 31% had elevated creatinine while 79% of the patient had abnormal estimated GFR. In conclusion, commonest cause of BOO was prostatic diseases and significant number of the patient studied had renal impairment at presentation.