Pattern and and Outcome of Surgical Management of Postrenal Acute Renal Failure Over Three Years Period at Tikur Anbessa Specialized Hospital.

Background: Post renal acute renal failure occurs when there is an obstruction to renal flow anywhere distal to the pelvis.
Methods: This study was a three years retrospective analysis of patients who underwent treatment for post renal acute renal failure patients at TASH, urology unit, from January 2010 to December 2012.
Results: The post intervention creatinine of the patients with post renal acute renal failure was <1mg/dl in 7 (33%), 1-2 mg/dl in 5 (24%), 2-5mg/dl in 6 (29%) and >10mg/dl in 3 (14%) (Table 5). When we see the general out come 12 (57%) patients have improved, 4 (19%) patients are fair (slightly improved) and 5 (24%) patients failed to improve Discussion: In 33% of patients the post intervention creatinine returned to normal (<1mg/dl) and in 24% of patients it returned to high normal (1-2mg/dl). Moreover the serum creatinine significantly decreased in all patients except one. This indicates early intervention cures aute renal failure or at least decreases the rate of progression of acuteon-chronic renal failure.
Conclusion: This study clearly demonstrates early intervention of post renal acute renal failure brings a signuificant improvement of patients despite a high serum creatinine level. While there is life there is hope