caa a22 4500 475773535 CHVBK 20180406123624.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1023/A:1007115013407 doi (NATIONALLICENCE)springer-10.1023/A:1007115013407 Hydronephrosis and renal deterioration in the elderly due to abnormalities of the lower urinary tract and ureterovesical junction [Elektronische Daten] [Perry Sutaria, David Staskin] The geriatric population presents a unique challenge to the health care provider. The incidence of common lower urinary tract disorders, such as benign prostatic hypertrophy (BPH), prostate cancer and incontinence increase dramatically with aging. In their more severe forms, these disorders may predispose to hydronephrosis and ultimately to renal deterioration. This review of lower urinary tract and ureterovesical junction (UVJ) physiology and pathophysiology, will focus on: (1) anatomic UVJ obstruction from prostate cancer, or severe bladder hypertrophy, (2) functional obstruction from compression or stretching of the UVJ during bladder distention from urinary retention, and (3) bladder decompensation in the female. We will present a diagnostic and treatment algorithm and discuss future trends in the geriatric population. Clearly, the geriatric health care provider always must considerthe lower urinary tract when confronted with acuterenal deterioration, because prompt diagnosis and treatment of significant, lower-urinary-tract disease can maximize recovery of renal function. Kluwer Academic Publishers, 2000 Ureterovesical junction (UVJ) nationallicence Lower urinary tract nationallicence Hydronephrosis nationallicence Renal damage in the elderly nationallicence UVJ obstruction nationallicence BPH nationallicence Prostate cancer nationallicence Urinary retention: high pressure and low pressure nationallicence Ureteral obstruction nationallicence Sutaria Perry Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA aut Staskin David Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA aut International Urology and Nephrology Kluwer Academic Publishers 32/1(2000-03-01), 119-126 0301-1623 32:1<119 2000 32 11255 https://doi.org/10.1023/A:1007115013407 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1007115013407 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sutaria Perry Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA aut NATIONALLICENCE 700 1- Staskin David Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA aut NATIONALLICENCE 773 0- International Urology and Nephrology Kluwer Academic Publishers 32/1(2000-03-01), 119-126 0301-1623 32:1<119 2000 32 11255 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer