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
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