urinary retention


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Related to urinary retention: urinary tract infection, Acute Urinary Retention

retention

 [re-ten´shun]
1. the process of holding back or keeping in a position.
2. persistence in the body of material normally excreted, such as from the bowel or bladder.
3. the number of staff members in a facility that remain in employment.
urinary retention a nursing diagnosis accepted by the North American Nursing Diagnosis Association, defined as a state in which an individual has incomplete emptying of the bladder.
retention of urine accumulation of urine within the bladder because of inability to urinate.

urinary retention

Urology The inability to completely void the urinary bladder
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URINARY RETENTION: (A) Massive distention of the bladder by two liters of urine. (B) After catheterization of the bladder.
Enlarge picture
URINARY RETENTION: (A) Massive distention of the bladder by two liters of urine. (B) After catheterization of the bladder.

urinary retention

The state in which the individual experiences incomplete emptying of the bladder. High urethral pressure inhibits voiding until increased abdominal pressure causes urine to be involuntarily lost, or high urethral pressure inhibits complete emptying of the bladder.

Patient care

Ultrasound can be used to measure residual urine after voiding (i.e., to determine postvoid residual urinary retention). Other uses of bladder ultrasound include: identifying an obstruction in an indwelling catheter (indicated by a significant urine volume when the bladder should be almost empty), or the presence of bladder distension and the need for urinary catheterization.

Health care professionals should use standard precautions when a bladder scanner is employed. The procedure, which is painless, should be explained to the patient and appropriate privacy (screening and draping) provided. The probe (also known as the “transducer”) should then be cleansed with a disinfectant. The health care provider then gently palpates the patient’s pubic symphysis and places ultrasound gel or a bladder scan gel pad midline on the patient’s abdomen about 1 to 1½ in (2.5 to 4 cm) above it. The probe is then placed on the gel with its directional icon toward the patient’s head and aimed toward the bladder. Pointing the probe slightly downward toward the coccyx provides an accurate view of the bladder for most patients. The scan button should then be pressed and released. The orientation of the probe is readjusted until the bladder image is centered. The volume of urine in the bladder is calculated by software, and the measurement is displayed. A volume greater than 200 ml is abnormal. The gel should be wiped from the patient’s skin or the gel pad discarded, and the patient made comfortable.

The health care provider should document any patient concerns that led to the scanning, the urine volume indicated, the patient’s response to the scan, any follow-up treatment, and whether the patient’s primary health care provider was contacted.

illustration;

Urinary retention

The result of progressive obstruction of the urethra by an enlarging prostate, causing urine to remain in the bladder even after urination.
Mentioned in: Enlarged Prostate
References in periodicals archive ?
Identification of risk factors for urinary retention following total knee arthroplasty: a Singapore hospital experience.
In my case, I had terrible abdominal pain and spasms with urinary retention, but still acted as if I were okay.
Residual urine of [greater than or equal to]150 ml was taken as a cutoff value for postpartum urinary retention (PPUR) as 92.3% of our study population had RU < 150 ml.
Heisler, "Subpubic cartilaginous cyst presenting as acute urinary retention: a report and review of the literature," Female Pelvic Medicine and Reconstructive Surgery, vol.
We report this case which mainly presented with acute urinary retention. The mass detected within her bladder by imaging and later biopsy confirmed was leiomyoma.
Any person could be subject to urinary retention. Besides, law enforcement procedures were carried out improperly and illegally against my client.
On the other hand, high doses of bupivacaine are associated with dense motor block, prolonged recovery and urinary retention and can reduce patient satisfaction8.
[1] Rarely, bladder dysfunction with acute urinary retention is seen due to the involvement of sacral dermatomes.
Urinary retention in women is a rare occurrence, with an overall incidence of 0.07 per 1000 inhabitants per year [1].
Background and Objectives: Urinary Retention (UR) is one of the most serious complication of benign prostatic hyperplasia (BPH), causing resistance in urine flow and hence results in painful urination.