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MERCK MANUAL
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HEALTH TOPICS
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Kidney and Urinary Tract Disorders
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Kidney and Urinary Tract Disorders
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Biology of the Kidneys and Urinary Tract
Overview of the Urinary Tract
Kidneys
Functions of the Kidneys
Water and electrolyte balance
Filtration and excretion
Regulation of blood pressure
Secretion of hormones
Ureters
Bladder
Urethra
Effects of Aging on the Urinary Tract
Age-related changes in the kidneys
Age-related changes in the ureters
Age-related changes in the bladder
Age-related changes in the urethra
Age-related changes in the prostate gland
Symptoms of Kidney and Urinary Tract Disorders
Overview of Urinary Tract Symptoms
Blood in Semen
Causes
Evaluation
Warning signs
When to see a doctor
What the doctor does
Testing
Treatment
Key Points
Blood in Urine
Causes
Common causes
Less common causes
Evaluation
Warning signs
When to see a doctor
What the doctor does
Testing
Treatment
Key Points
Changes in Color or Odor of Urine
Brown urine
Black urine
Red urine
Cloudy urine
Malodorous urine
Excessive or Frequent Urination
Causes
Evaluation
Warning signs
When to see a doctor
What the doctor does
Testing
Treatment
Essentials for Older Adults
Key Points
Flank Pain
Causes
Evaluation
Treatment
Gas in Urine
Pain or Burning With Urination
Causes
Common causes
Evaluation
Warning signs
When to see a doctor
What the doctor does
Testing
Treatment
Key Points
Persistent Erection
Ischemic priapism
Nonischemic priapism
Causes
Common causes
Less common causes
Evaluation
Warning signs
When to see a doctor
What the doctor does
Testing
Treatment
Key Points
Scrotal Pain
Causes
Common causes
Less common causes
Evaluation
Warning signs
When to see a doctor
What the doctor does
Testing
Treatment
Essentials for Older Adults
Key Points
Scrotal Swelling
Causes
Common causes
Less common causes
Evaluation
Warning signs
When to see a doctor
What the doctor does
Testing
Treatment
Key Points
Urinary Hesitating, Straining, and Dribbling
Urinary Urgency
Diagnosis of Kidney and Urinary Tract Disorders
Evaluation of Kidney and Urinary Tract Disorders
History
Physical Examination
Testing
Urinalysis and Urine Culture
Kidney Function Tests
Imaging Tests of the Urinary Tract
Plain x-rays
Ultrasonography
Computed tomography
Magnetic resonance imaging
Intravenous urography
Retrograde urography
Percutaneous antegrade urography
Cystography and cystourethrography
Retrograde urethrography
Positron emission tomography
Radionuclide scanning
Angiography
Cystoscopy
Tissue and Cell Sampling
Kidney biopsy
Bladder biopsy
Prostate biopsy
Urine cytology
Blood Vessel Disorders of the Kidneys
Overview of Blood Vessel Disorders of the Kidneys
More Information
Atheroembolic Kidney Disease
Causes
Symptoms
Diagnosis
Treatment
More Information
Blockage of the Renal Arteries
Causes
Fibromuscular dysplasia
Symptoms
Diagnosis
Treatment
More Information
Cortical Necrosis of the Kidneys
Causes
Symptoms
Diagnosis
Treatment
More Information
Hypertensive Arteriolar Nephrosclerosis
Symptoms
Diagnosis
Treatment
Prognosis
More Information
Renal Vein Thrombosis
Causes
Symptoms
Diagnosis
Treatment
More Information
Cancers of the Kidney and Genitourinary Tract
Bladder Cancer
Symptoms
Diagnosis
Treatment
Prognosis
Kidney Cancer
Symptoms
Diagnosis
Treatment
Prognosis
Tumors Metastatic to the Kidney
Penile Cancer
Causes
Symptoms
Diagnosis
Treatment
Prognosis
Prevention
Prostate Cancer
Symptoms
Diagnosis
Grading
Staging
Screening
Treatment
Strategies for treatment
Surgery
Radiation therapy
Focal therapies
Hormonal therapy
Other medications
Follow-up
Prognosis
Prevention
Renal Pelvis and Ureter Cancers
Symptoms
Diagnosis
Treatment
Prognosis
Testicular Cancer
Symptoms
Diagnosis
Treatment
Prognosis
Urethral Cancer
Cystic Kidney Disorders
Acquired Kidney Cysts
More Information
Congenital Cystic Dysplasia of the Kidneys
More Information
Medullary Sponge Kidney
More Information
Nephronophthisis and Autosomal Dominant Tubulointerstitial Kidney Disease
Symptoms
Diagnosis
Treatment
More Information
Polycystic Kidney Disease (PKD)
Symptoms
Complications
Diagnosis
Treatment
More Information
Dialysis
Dialysis
Types of Dialysis
Hemodialysis
Peritoneal dialysis
Choice of technique
Special Considerations
Diet
Medical considerations
Psychosocial considerations
Considerations in children
More Information
Disorders of Kidney Tubules
Introduction to Disorders of Kidney Tubules
Fanconi Syndrome
Symptoms
Diagnosis
Treatment
More Information
Liddle Syndrome
Diagnosis
Treatment
More Information
Arginine
Vasopressin
Resistance
Causes
Hereditary argininevasopressin resistance
Acquired argininevasopressin resistance
Symptoms
Diagnosis
Treatment
Prognosis
More Information
Pseudohypoaldosteronism Type I
Diagnosis
Treatment
More Information
Renal Glucosuria
More Information
Renal Tubular Acidosis (RTA)
Symptoms
Types 1 and 2
Type 4
Diagnosis
Treatment
Types 1 and 2
Type 4
More Information
Disorders of Urination
Control of Urination
Interstitial Cystitis
Symptoms
Diagnosis
Treatment
More Information
Neurogenic Bladder
Symptoms
Diagnosis
Treatment
More Information
Urinary Incontinence in Adults
Types of Incontinence
Causes
Evaluation
Warning signs
When to see a doctor
What the doctor does
Testing
Treatment
General measures
Urge incontinence
Stress incontinence
Overflow incontinence
Essentials for Older Adults: Urinary Incontinence
Key Points
More Information
Urinary Retention
Symptoms
Diagnosis
Treatment
More Information
Kidney Failure
Overview of Kidney Failure
Acute Kidney Injury
Symptoms
Diagnosis
Physical examination
Blood tests
Urine tests
Imaging
Treatment
Dietary measures
Medications
Dialysis
Treament of acute kidney injury caused by obstruction
Prognosis
COVID-19 and Acute Kidney Injury
Chronic Kidney Disease
Symptoms
Diagnosis
Treatment
Restricting protein
Controlling acidosis
Lowering triglyceride levels
Restricting sodium and potassium
Controlling phosphorus levels
Treating complications
Treating advanced chronic kidney disease
Prognosis
More Information
Rhabdomyolysis
Symptoms
Diagnosis
Treatment
Kidney Filtering Disorders
Overview of Kidney Filtering Disorders
More Information
Glomerulonephritis
Causes
Acute glomerulonephritis
Chronic glomerulonephritis
Symptoms
Diagnosis
Determining the cause of glomerulonephritis
Treatment
Acute glomerulonephritis
Rapidly progressive glomerulonephritis
Chronic glomerulonephritis
Prognosis
More Information
Nephrotic Syndrome
Causes
Symptoms
Diagnosis
Determining the cause of nephrotic syndrome
Treatment
Treatment of the cause of nephrotic syndrome
Medications
Dietary management and other measures
Prognosis
Prevention
More Information
Asymptomatic Proteinuria and Hematuria
More Information
Alport Syndrome
Symptoms
Diagnosis
Treatment
Acute Tubular Necrosis
Causes
Symptoms
Diagnosis
Treatment
Prognosis
Prevention
Tubulointerstitial Nephritis
Causes
Symptoms
Acute tubulointerstitial nephritis
Chronic tubulointerstitial nephritis
Diagnosis
Treatment
Acute tubulointerstitial nephritis
Chronic tubulointerstitial nephritis
Prognosis
Reflux Nephropathy
Diagnosis
Treatment
More Information
Obstruction of the Urinary Tract
Urinary Tract Obstruction
Causes
Symptoms
Diagnosis
Bladder catheterization
Imaging tests
Endoscopy
Blood and urine tests
Treatment
Prognosis
Stones in the Urinary Tract
Stones in the Urinary Tract
Types of stones
Causes
Symptoms
Diagnosis
Determining stone type
Treatment
Pain relief
Stone-passing strategies
Stone-bypass procedures
Stone removal
Prevention
Calcium stones
Uric acid stones
Cystine stones
Struvite stones
Urinary Tract Infections (UTIs)
Overview of Urinary Tract Infections (UTIs)
Causes
Bacteria
Viruses
Fungi
Parasites
Asymptomatic Bacteriuria
Bladder Infection
Causes
Causes of bladder infection in women
Causes of bladder infection in men
Causes of bladder infection in both sexes
Symptoms
Diagnosis
Finding the cause of cystitis
Treatment
Prevention
Kidney Infection
Causes
Symptoms
Diagnosis
Treatment
Prognosis
Prevention
Urethritis
Causes
Symptoms
Complications of Urethritis
Diagnosis
Prevention and Treatment
More Information