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Urinary Retention Treatment

What is urinary retention as well as the symptoms?

Urinary retention is a condition whereas the individual lacks the ability to urinate. This is also known as ischuria and can be seen as a common effect of benign prostatic hyperplasia. Other conditions with urinary retention symptoms include nerve dysfunction, constipation, tethered spinal cord syndrome, infection, and some medications such as antidepressants, amphetamines, and opiates.

Urinary retention symptoms can include a sense of incomplete voiding (urination), poor urinary stream, and hesitancy or delay with urinary flow. If the bladder remains full of urine it can lead to incontinence, nocturia, and high frequency of urination. If someone experiences acute urinary retention that causes anuria this is a medical emergency because the fact that the bladder can stretch so much that it tears.

Urinary retention complications can cause concern when trying to deal with the situation. Uncertainties surrounding the correct type of treatment to use or urinary retention diagnosis can often lead to questions like those answered below by Experts.

If experiencing urinary retention greater than 500 cc, weak bladder muscles and nerves what treatment can be used?

Possible treatment to relieve urinary retention with hopes of bladder recovery is using a catheter. If a clean intermittent catheterization is used to keep the residuals less than 400 cubic centimeters (cc) then bladder recovery is possible. Using catheterization for a few months can give a good idea to the physician whether or not the bladder pressure is recovering. This test is called urodynamic. Possible other urinary retention treatment may be a bladder pacemaker.

What medications are effective to treat chronic acute urinary retention?

Testing via urodynamics should be performed first to diagnose why the bladder is not able to be emptied. Causes are either muscle or nerve failure or an obstruction of the urethra, or it can be a combination. Chronic acute urinary retention treatment may include catheterization. This can be done by the individual or through an indwelling catheter. Another treatment that is used is a bladder pacemaker. This can be placed in the bladder to restore bladder activity.

How common is urinary retention in men over 60?

Urinary retention is common in men over the age of sixty whereas this is often caused by an enlarged prostate. Urinary retention treatment for this condition may involve surgery to open up the prostate channel. If this is caused by an enlarged prostate then tradition urinary retention medications such as Flomax and Proscar will not work.

How is acute urinary retention diagnosed?

If urination is not normal and there is pain above the pubic bone then it may be likely that acute urinary retention is present. To get definitive diagnosis a bladder ultrasound is needed and possibly a catheter to check if the bladder is full. An urologist will determine if in fact acute urinary retention is occurring.

If experiencing urinary retention that required a seven day catheterization and blood is seen in the urine as well as a burning sensation during urination should this be an emergency or can it wait for a urologist appointment?

The burning sensation is common in individuals that have catheterization. It is caused by bladder spasms as a reaction to the catheter. If the pain is manageable then it should be fine to wait to visit with an urologist as long a fever is not present. If however, the pain worsens, bleeding worsens, or fever sets in then it would be prudent to seek immediate care as infection may have set in. If this happens antibiotics may be needed to fight the infection.

Obtaining the right kind of information about urinary retention can prove to be beneficial when faced with circumstances that involve the inability to empty the bladder. Experts can help answer what urinary retention side effects may be or if urinary retention is curable. Get the answers quickly by asking an Expert.
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