Urinary retention resident survival guide: Difference between revisions
| Line 20: | Line 20: | ||
* Nerve injury during surgery-For example [[Episiotomy]] | * Nerve injury during surgery-For example [[Episiotomy]] | ||
* Medications-[[Atropine]], [[Glycopyrrolate]], [[Bupivacaine]] | * Medications-[[Atropine]], [[Glycopyrrolate]], [[Bupivacaine]] | ||
* Obstructive causes-Vaginal [[hematoma]], Vaginal [[packing]], [[Sling]], [[Foreign body]], [[ | * Obstructive causes-Vaginal [[hematoma]], Vaginal [[packing]], [[Sling]], [[Foreign body]], Pelvic [[organ prolapse]], [[Urethral]] injury | ||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 11:01, 26 August 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
Urinary retention can be defined as an inability to pass urine or incomplete emptying of the bladder. It is one of the most common presenting complaint encountered in the emergency department which can be acute or chronic. It is commonly seen in males as compared to females due to benign prostate hyperplasia. If undiagnosed or left untreated, this condition can be life threatening as it may lead to kidney damage and severe urosepsis. Acute urinary retention can be extremely uncomfortable, brings the patient immediately in attention and is initially managed by urethral or suprapubic catheterization. Chronic urinary retention is often asymptomatic, not easily identified and is linked to increased post void residual volume. A complete detailed history about current prescription, over the counter and herbal medications is necessary along with focused physical examination that must include neurological evaluation.
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
CAUSES
Urinary retention in women
Urinary Retention is overall very rare in women and can be acute or chronic. Common causes include:
- Nerve injury during surgery-For example Episiotomy
- Medications-Atropine, Glycopyrrolate, Bupivacaine
- Obstructive causes-Vaginal hematoma, Vaginal packing, Sling, Foreign body, Pelvic organ prolapse, Urethral injury
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ "StatPearls". 2020. PMID 30860732.
- ↑ Serlin DC, Heidelbaugh JJ, Stoffel JT (2018). "Urinary Retention in Adults: Evaluation and Initial Management". Am Fam Physician. 98 (8): 496–503. PMID 30277739.
- ↑ Lepor H (2005). "Managing and preventing acute urinary retention". Rev Urol. 7 Suppl 8: S26–33. PMC 1477632. PMID 16985887.
- ↑ Roehrborn CG (2005). "Acute urinary retention: risks and management". Rev Urol. 7 Suppl 4: S31–41. PMC 1477606. PMID 16986053.
- ↑ Mevcha A, Drake MJ (2010). "Etiology and management of urinary retention in women". Indian J Urol. 26 (2): 230–5. doi:10.4103/0970-1591.65396. PMC 2938548. PMID 20877602.
- ↑ Hernández Hernández D, Tesouro RB, Castro-Diaz D (2013). "Urinary retention". Urologia. 80 (4): 257–64. doi:10.5301/RU.2013.11688. PMID 24419919.