Common urinary histories - retention Flashcards
1
Q
What would you want to ask about the sypmtom of retention?
A
- Duration
- Onset
- Timing
- Progression
- Constipation
- Previous catheterisation
2
Q
What urological symptoms would you want to ask about in someone with retention?
A
- Storage - frequency, urgency, nocturia, incontinence
- Infection - dysuria, haematuria, odour, discharge
- Prostatic - hesitancy, poor flow, dribbling, incomplete emptying
3
Q
What features associated with retention suggest prostatic hypertrophy as a cause?
A
- History of hesitancy, poor flow, terminal dribbling
- Elderly male
4
Q
What features assocaited with urinary retention suggest urethral stricture as a cause?
A
History of trauma/recurrent catheterisation
5
Q
What features associated with retention suggest bladder neck obstruction?
A
May have haematuria
6
Q
What featurs associated with retention suggest a UTI as the cause?
A
Dysuria
7
Q
What are urinary causes of urinary retention?
A
- BPH
- Urethral stricture
- Bladder neck obstruction
- UTi
- Constipation
- Prostatitis
- Pelvic mass
- Genital herpes
- Clot retention
- Phimosis
8
Q
What are neuorlogical causes of urinary retention?
A
- MS
- Spinal cord injury/compression
9
Q
What drugs can cause urinary retention?
A
Anticholinergic drugs
