Clinical Case Database / Category: Patient Management
Post-obstructive diuresis
Publication details
Mr Alexander P Coupland, Mr Chandra Shekhar Biyani
Foundation Years Journal, volume 9, issue 1, p.20 (123Doc Education, London, January 2015)
Abstract
This paper discusses the diagnosis and management of post-obstructive diuresis (POD). Knowledge of this condition will improve the clinical management of patients with bladder outflow obstruction in the acute setting. We present the clinical case of a 61-year-old man who presented with bladder neck obstruction secondary to metastatic prostate cancer, who subsequently developed POD. We discuss the diagnosis and management of POD from both a pathophysiological and clinical perspective with an emphasis on important definitions and clinical guidance for foundation trainees. This paper covers a relatively uncommon condition but in understanding its management, the foundation trainee will manage patients with bladder outflow and ureteric obstruction with greater understanding and accuracy.
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Authors
Mr Alexander P Coupland (Corresponding author)
Pinderfields Hospital
Aberford Road, Mid Yorkshire Hospitals NHS Trust
Wakefield, West Yorkshire
WF1 4DG
apcoupland@gmail.com
Mr Chandra Shekhar Biyani
Pinderfields Hospital
Aberford Road, Mid Yorkshire Hospitals NHS Trust
Wakefield, West Yorkshire, WF1 4DG
shekhar.biyani@midyorks.nhs.uk
References
1. Gulmi AF, Felsen D, Vaughan ED. Management of post-obstructive diuresis. American Urology Association Update Series. 1998; 17: Lesson 23.
2. Pais VM, Strandhoy JW, Assimos DM. Pathophysiology of urinary tract obstruction. In: Campbell M, Wein A, Kavoussi L. Campbell-Walsh Urology Volume 2 9th Edition. Philadelphia: W.B. Saunders; 2007. p.1195-1226.
3. Hillelsohn J, Gilbert RB. Clinically relevant renal physiology. American Urology Association Update Series. 2012; 31: Lesson 23.
4. Gonzalez CM. Pathophysiology, diagnosis, and treatment of the postobstructive diuresis. In: McVary KT (Ed). Management of Benign Prostatic Hypertrophy. Totowa, NJ: Humana Press; 2004. p.35-46.
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
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Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.