Acute retention of urine Flashcards
1
Q
Management
A
Perform PR exam and empty rectum of any impacted faecal material;
- check for prostate cancer or prostatitis in the male.
Consider simple ideas, e.g. a hot bath or stand to sound of running water
Catheterise with size 14 or 16 Foley catheter to relieve obstruction and drain.
- Obtain MCU.
- If not possible place SPC.
- Seek a urological opinion
- If there is any chance of recovery (e.g. if the problem is drug-induced), withdraw drug, leave catheter in for 48 h, remove and give trial of prazosin 0.5 mg bd or terazosin
2
Q
A