[Post-obstructive diuresis, by the internal physician]

Abstract

Post-Obstructive Diuresis (POD) is a polyuria that occurs following the release of an obstruction from the urinary tract that prevents the flow of urine. POD requires prompt diagnosis to avoid complications. Although its pathophysiology is better understood, there is little scientific evidence for its treatment. Restoration of renal homeostasis requires correction of blood volume and electrolyte disturbances to prevent complications, which can be serious. In this article, we propose a synthesis of knowledge on the subject, as well as a management strategy.

Keywords: Insuffisance rénale obstructive; Obstructive kidney failure; Polyuria; Polyurie; Post obstructive diuresis; Rétention urinaire; Syndrome de levée d’obstacle; Urine retention.