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A pensioner with ‘waterworks’ problems
Published in Tim French, Terry Wardle, The Problem-Based Learning Workbook, 2022
This is a symptom of chronic urinary retention. It may only be present at night. As the bladder is full all the time, you can regard it as not ‘knowing’ when to tell the brain that it is full. This is effectively the opposite of acute retention, when a bladder knows it is full and is screaming this fact to the brain.
Introduction to the clinical stations
Published in Sukhpreet Singh Dubb, Core Surgical Training Interviews, 2020
Urinary retention may result depending on the level of obstruction within the urinary tract. The most common conditions causing an obstruction include urolithiasis and benign prostatic hypertrophy. Alongside pain relief and fluid resuscitation of the patient, an obstruction can lead to hydronephrosis eventually causing significant renal injury. Relief of the back pressure is imperative to prevent permanent damage from occurring, and this may be carried out through catheterisation, stent insertion or a nephrostomy.
Endocrinology and gonads
Published in Jagdish M. Gupta, John Beveridge, MCQs in Paediatrics, 2020
Jagdish M. Gupta, John Beveridge
11.28. Adherent labia minorausually indicate an underlying vaginal atresia.can cause acute urinary retention.can be treated by the application of an oestrogen cream.require reconstructive surgery for the girl to conceive normally.are rarely associated with urogenital problems.
The role of Rezūm ™ team ablation of the prostate in the treatment of patients with acute urinary retention secondary to benign prostatic hyperplasia. A single center, single surgeon case series and literature review
Published in The Aging Male, 2020
The results indicate that this is an effective approach in treating patients with acute urinary retention. There was a 100% success rate for patients passing their TWOC. All patients that were recruited had initially failed their TWOC, and our follow up revealed that all patients are catheter free after the procedure. 70% of patients passed their first TWOC at 4 weeks and 30% passed the second TWOC at 6 weeks. The mean TRUS volume had also decreased after intervention (73.8 cc and 41.5 cc respectively). This meant that there was an average of 43.8% decrease in TRUS volume after the procedure. Post-operative PSA value also fell by 52.5%. All patients were satisfied with the functional outcomes as their mean QoL score after the treatment was 0.7. On average, the patients had a satisfactory mean Qmax score of 13.7 after the procedure considering the mean age of 75. Finally, the mean PVR volume was significantly reduced to 107.2mls compared to the mean 1100 ml residual volume before treatment.
Acute urinary retention after alprazolam use: a case report
Published in Psychiatry and Clinical Psychopharmacology, 2018
Demet Saglam Aykut, R. A. Emel Uysal
Urinary retention is a condition in which impaired emptying of the bladder results in postvoid residual urine. It is generally classified into “acute” or “chronic” urinary retention [1,2]. Chronic urinary retention develops over a long period with development of a painless, palpable bladder due to a postvoid residual volume. Acute urinary retention is defined as the loss of ability to micturate. The retention itself is often painful, the onset is acute and it requires treatment by urinary catheterization. Risk factors are increasing age and urological conditions such as benign prostatic hyperplasia (BPH), prostate cancer, urethral stricture, surgery, and the use of medications. Due to the mixed mechanism of the mixture, many drugs may interact with the pathway in different modes. Although the incidence of urinary retention, in particular acute urinary retention, has been well studied in observational studies and randomized controlled trials, data on the incidence of drug-induced urinary retention are scarce [3]. Observational studies suggest that up to 10% of episodes might be attributable to the use of concomitant medication. Urinary retention has been described with the use of drugs with anticholinergic activity (e.g. antipsychotic drugs, atropine, antispasmodics and anticholinergic respiratory agents), antidepressant agents, alpha-adrenoceptor agonists, benzodiazepines, NSAIDs, opioids and anaesthetics, calcium channel antagonists, and detrusor relaxants. In this article, a case of acute urinary retention developed after the use of alprazolam was discussed.
Cost-effectiveness analysis of hydrophilic-coated catheters in long-term intermittent catheter users in the UK
Published in Current Medical Research and Opinion, 2023
Hannah Baker, Brooke Avey, Line Overbeck Rethmeier, Stuart Mealing, Marie Lynge Buchter, Márcio Augusto Averbeck, Nikesh Thiruchelvam
Injuries and conditions affecting the spinal cord can lead to impaired bladder function and, therefore, urinary retention, whereby an individual is unable to completely empty urine from the bladder. Two examples of such conditions are spinal cord injuries (SCI) and multiple sclerosis (MS), which are estimated to affect approximately 50,000 and 130,000 people in the UK, respectively1,2. Urinary retention is a common issue for these patient groups and can have serious consequences if left untreated, such as urinary tract infections (UTIs), urinary incontinence, bladder damage, and kidney damage, which can lead to kidney failure in some individuals3.