The Urinary Retention Guide



Urinary retention is the inability to urinate. This complication is also known as ischuria and it is a form of benign prostatic hypertrophy that can be caused by various medications: antidepressants, opiates or amphetamines.

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Urinary retention has two stages. Chronic retention is characterized by the incapacity to empty the bladder completely. Even starting a steam can be difficult. The patient will feel a constant need to urinate, but the urgency will disappear once he gets to the toilet. Another symptom is the strong persistence of the need to urinate even after the patient has done so. Although chronic urinary retention may not feel life endangering, it can lead to serious problems such as acute retention when the patient can’t urinate at all even though he has a full bladder. In this stage of illness, medical intervention is required. The incapacity to urinate properly should not be considered an unusual condition even though it is more common in men than in women.
A full bladder in a urinary retention patient may lead to incontinence and the need to urinate at night. Urinary incontinence is characterized by unintentional leakage of urine and can happen anytime, at any moment of the day, having a deep impact on the quality of the patient’s life. Obstruction of the urinary tract or severe nerve problems that cut off all communication routes between the brain and the bladder are the main causes of urinary retention. A weaken bladder muscle can also lead to urinary problems. For men in their fifties and sixties, due to prostate enlargement that comes with age, urinary retention is unavoidable. When the prostate enlarges it presses against the urethra, causing the bladder to become irritable and contract even when it contains a small quantity of urine. Frequent urination will cause tract muscle to lose their elasticity up to the point where urine will stay in the bladder because the bladder will not be able to empty itself. Urinary infection is another cause for urinary deficiencies. An infection of the urethra can easily lead to irritation and inflammation.
Urinary problems can cause pain, discomfort, stress, all of which will reflect on the quality of the patient’s life. If a patients feels the need to urinate more often than before or once he intends to do it he can’t release urine out of this body, then he must see a doctor who will order a number a test to diagnose the condition. Tests usually consist of urine sample, blood and prostate fluid samples or a bladder scan. Depending on the medical consult, some doctors feel that a cytoscopy or X-rays are required. During cytoscopy, your bladder and urethra will be examined with a microscope.
A form of quick treatment is the insertion of a catheter through the urethra that will absorb all the urine out of the bladder. Depending on the cause, the doctor will proceed in long-term treatment than can include medication or surgery. Acute urinary retention should not be ignored because it can lead to kidney failure.

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