EFFECTIVENESS OF A MODEL FOR PREDICTING COMPLICATED COURSE OF SUPRAVESICAL OBSTRUCTION

Abstract

Supravesical obstruction is a pathology often encountered in urological patients. By affecting the kidney tissue, it causes disturbances, including the cessation of kidney function and the development of complications that can result in death. The patient's treatment strategy depends on the nature of the disease, the results of laboratory tests, as well as the cause and location of the obstruction. The acute form of the disease can be manifested by pain in the lumbar region, elevated body temperature above 38 °C with chills, general weakness, nausea and vomiting, as well as urination problems. When examining a patient, special attention is paid to the results of an ultrasound examination of the kidneys and bladder (assessment of the degree of dilation of the ureter, pelvis and parenchyma thickness), blood tests (assessment of urea and creatinine levels, changes in the leukocyte formula, procalcitonin level), computed tomography and x-ray examination of the kidneys and pelvic organs (if necessary, using a contrast agent). Considering the results of these diagnostic methods, which reveal significant changes, the patient is recommended to use conservative or surgical treatment. Assessing the prognosis for this group of patients is difficult and definitive conclusions are difficult(1-3).