Urinary retention is a common complaint at my Urology office. Urinary retention being defined as the acute retention of urine, affects millions of people all over the world with the prevalence increasing in elderly. Patients more likely terrifying with their first episode of retention and trying to seek a medical profession for specific treatment. Good news in between bad news, there are some reversible causes of Urinary retention, which is, if we’ve treated them correctly, it will be resolved with no need to take any further investigation or management. In this topic we will discuss about “Transient Urinary Retention”
Transient Urinary Retention is the reversible condition usually came up with a sudden onset and presenting less than 6 weeks at a time of the evaluation. Several of the reversible causes, can be easily recall by mnemonic DIAPPERS.
Reversible causes of Transient urinary retention
- Delirium
- Infection
- Any infection-related issues
- Especially acute urinary tract infection
- Atrophic vaginitis
- Pharmaceuticals
- Antihypertensives
- Pain killers – NSAID, Opioids derivative
- Psychotherapeutics – antidepressants or sedative drugs
- Alcohol – increases urine production with impaired nervous system
- Antihistamines – inhibits bladder contraction
- Psychological disorder
- Depression
- Excessive urine output
- Hyperglycemic state
- Reduced mobility
- Bed ridden patients
- Healthy patients who admit inpatient with more times staying in bed
- Stool impaction
- The fecal impact within rectum can compress the urethra and make the difficulty of urination
Once patients came to see me along with incontinence-related problem. The above mentioned of the risk factors would always document and correct them if possible. When the patients’ problems are resolved since we corrected all risk factors, then the “Transient urinary retention” will be the diagnosis. If not, the further evaluation is needed in order to clarify the cause of urinary incontinence. See you in next topic!
Any question, please feel free to text me.
Topics on Female Urology
Female abnormal voiding: Underactive bladder disease
After 5 years of urology practicing in Cambodia, a female abnormal urination problem is getting more and more common in my female urology clinic. Today we will discuss about “Underactive bladder” disease in female. Normally, the bladder’s function is to store urine and squeezing all urine out when we urinate, but this kind of disease…
Acute Urinary retention (AUR) in Female
First, I must say that female urinary retention is a quite rare condition if we’re comparing to a male gender. There was a literature showing that the incidence ratio between female and male as low as 1:13. The explanation is that the female doesn’t have a prostate gland which is possibly obstructing the urethra when…
Urge incontinence (UI): Urine leaking before getting to toilet
The definition of Urge incontinence is a sudden sense of urinating which is very difficult to hold it, causing some urine leaking for sometimes. The etiology of Urge incontinence can be categorized for 3 major causes. Urge Incontinence (UI) has been reported as the 2nd most common incontinence after the stress incontinence. It is confirmed…
Loading…
Something went wrong. Please refresh the page and/or try again.
English 
ភាសាខ្មែរ 
ไทย 
简体中文 
日本語 
한국어
One thought on “Transient Urinary Retention: Management”