Bladder outlet obstruction but still have normal renal architecture. This leads to a decrease in the number of nephrons, or functional units of the kidney. Malformation of kidney or bladder architecture. A dysplastic kidney is typically small for age and may contain cysts. A multicystic dysplastic kidney is an extreme example of renal dysplasia. Dilation of the renal pelvis, ureters, or both. Also called hydronephrosis. Kidneys and ureters located in incorrect position, including horseshoe kidney and ectopic ureters. Bladder outlet obstruction is classified based on where along the urinary tract the obstruction occurs, including upper urinary tract obstruction and lower urinary tract obstruction.
Acute kidney injury bladder outlet obstruction, such as with an enlarged prostate. In prerenal AKI without fluid overload, administration of intravenous fluids is typically the first step to improving kidney function. Volume status may be monitored with the use of a central venous catheter to avoid over- or under-replacement of fluid. If low blood pressure persists despite providing a person with adequate amounts of intravenous fluid, medications that increase blood pressure (vasopressors) such as norepinephrine and in certain circumstances medications that improve the heart's ability to pump (known as inotropes) such as dobutamine may be given to improve blood flow to the kidney.