A brief review of the literature on the malignant ureteral obstruction

Abstract

Malignant ureteral obstruction (MUO) caused by a primarily urological tumor or secondary to a late-stage malignancy can be difficult for the urologist to manage. Due to a lack of clinical data on the management of MUO, every case is particular and should be aborted individually. Lack of specific treatment, either palliative or definitive, can severely damage renal function and lifetime expectancy in patients, causing even more damage that could otherwise be avoided. Prompt management directed at the recovery of renal function is the main goal in such cases. Even after urinary flow is restored, life threatening post-obstructive diuresis needs to be managed.

Keywords

• malignant obstruction
• bilateral obstruction
• unilateral obstruction
• post obstructive diuresis
• ureteral stent
• percutaneous nephrostomy