Anuria : Causes And Mangement in Casablanca

Abstract

Introduction: Obstructive anuria represents a medico-surgical emergency that
requires early diagnosis and its management is well codified and standardized
based on emergency collaboration between urologist and nephrologist depending
on the severity of the clinical picture.In this study, the most common causes are
neoplastic or lithiasic obstructions, and retroperitoneal fibrosis
Patients and methods: We carried out a descriptive cross-sectional study with
retrospective data collection from April to July 2018 and prospective from August
2018 to March 2019. This involved the study of the files of patients hospitalized in
the urology department of the Chu ibn Rochd of Morocco.Our study included all
adult patients with bilateral or single upper excretory tract obstruction in a single
anatomical or functional kidney associated with one of the three KDIGE criteria.
Results: We consulted 4143 hospitalization records, 123 (0.029%) had acute
obstructive renal failure, only 93 including 58 women and 35 men met our
inclusion criteriaThe average age was 59.2 years old .The average consultation
time was 7.9 days. The circumstances of discovery were oligo-anuria (41.9%), low
back pain (25.8%) anuria, and renal colic (20.4%) hematuria (8.6%). It was
discovered incidentally in 3.3% of cases.The diversion was mainly performed by
percutaneous nephrostomy in 74.2% of patients and by JJ probe in 25%.
Conclusion: Pelvic cancers represent the most common etiology, hence the
importance of a complete clinical examination with pelvic examinations and CT
without injection. Prevention is based on the early diagnosis of these cancers. The
prevalence of obstructive anuria was significant at 0.029% and its overall lethality
at 5.3%.