acute urinary retention


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acute urinary retention

A general term for an abrupt cessation of urinary flow, resulting in painful distension of the bladder.

Aetiology
Benign prostatic hyperplasia, neuropathy, constipation, cystitis, urethritis, medications (e.g., anticholinergics, antidepressants, COX-2 inhibitors, amphetamines and opiates).
 
Diagnosis
Urinary flow tests.

Complications
Bladder stones, detrusor muscle atrophy or hypertrophy, bladder diverticula, hydronephrosis.

Management
Urinary catherisation, alpha blockers, 5-alpha-reductase inhibitors, prostate resection.
References in periodicals archive ?
Overall, neurologic conditions (e.g., Fowlers syndrome, spinal cord-compression, and multiple sclerosis) make up the most common causes of acute urinary retention in young to middle-aged women [11, 12].
(Must meet at least one) Patient has acute urinary retention or bladder Yes / No obstruction Need for accurate measurement of urinary Yes / No output in critically ill patients To assist in healing of open sacral or perineal Yes / No wounds in patients who are incontinent Patient requires prolonged immobilization Yes / No (e.g., potentially unstable thoracic or lumbar spine, multiple traumatic injuries such as pelvic fractures).
Benign prostatic hyperplasia is associated with prostate enlargement (volume more than 30 ml) and later causes decreased urinary flow, acute urinary retention and ultimately requires surgery4.
Washington, March 26 ( ANI ): A new interventional radiology treatment, prostatic artery embolization may help men who suffered with acute urinary retention due to an enlarged prostate, say researchers who pioneered its use.
Cases include ectopic pregnancy, septic abortion, hypertensive emergencies, cardiac failure, acute asthma attack, fetal distress, jaundice, obstructed labor, postpartum collapse, acute pelvic inflammatory disease, ovarian torsion, endotoxic shock, acute urinary retention, sexual assault, abnormal uterine bleeding, emergency contraception, gynecologic oncology emergencies, postexposure prophylaxis to HIV and hepatitis B, cardiopulmonary resuscitation, diabetic ketoacidosis, and medicolegal and ethical issues.
They assessed the likeli-hood that the men's BPH would progress to acute urinary retention (a sudden inability to urinate) or necessitate surgery over a one-year period.
Untreated BPH can result in serious clinical complications, including acute urinary retention, urinary tract infection (UTI), bladder stone formation, gross hematuria (blood in the urine), and rarely, renal failure.
Does the patient have acute urinary retention or neurogenic bladder the radiologist asked.
Both short--and long-acting inhaled anticholinergic medications appear to raise the risk of acute urinary retention in men taking the drugs for treatment of chronic obstructive pulmonary disease, according to a case-control study of more than 67,000 people.
FDA has determined that a Risk Evaluation and Mitigation Strategy (REMS) will be necessary for ezogabine, with the aim of informing healthcare professionals of the risk of urinary retention and the symptoms of acute urinary retention.
FDA is said to have determined that a Risk Evaluation and Mitigation Strategy (REMS) will be necessary for ezogabine, with the goal of informing healthcare professionals of the risk of urinary retention and the symptoms of acute urinary retention, as Ezogabine caused urinary retention in clinical trials.
The condition can seriously impact the health and quality of life of older men and can lead to acute urinary retention, incontinence, and other serious consequences.

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