Chronic urinary retention Flashcards
1
Q
Chronic urinary retention
A
Long standing painless inability to pass urine - due to bladder desensitisation
2
Q
Causes
A
Male - BPH
Female
- Pelvic prolapse
- Pelvic masses such as fibroids
Neurological:
- peripheral neuropathy
- upper motor neurone disease such as Multiple Sclerosis or Parkinson’s disease
3
Q
Clinical Features
A
Painless urinary retention
Associated voiding LUTS
Overflow incontinence
Nocturnal enuresis
Palpable distended bladder with no tenderness
4
Q
Investigations
A
Abdominal exam PSA DRE Post void bladder scan Routine bloods
High pressure - USS
5
Q
Management
A
Catheterisation
TWOC (not if high pressure)
High pressure - long term catheter
Treat underlying cause
6
Q
Intermittent Self Catheterisation
A
Patients are taught how to catheterise themselves at regular intervals
7
Q
Complications
A
UTI
Bladder calculi
8
Q
Which major vessel provides the arterial supply to the bladder
A
Internal iliac artery
