Urinary Retention Flashcards
Acute and Chronic
What is Acute Urinary Retention?
Painful inability to void with a palpable and percussive bladder.
Risk factors for AUR
UTI
Alcohol excess
Urethral stricture
Iatrogenic / Urological procedures
Constipation
What is the immediate treatment for acute urinary retention?
Catheterisation
What is the long-term treatment for AUR?
Find and treat underlying cause.
If there is NO RENAL FAILURE, then start Alpha-blocker therapy.
Remove catheter in 2 days.
Regarding Acute urinary retention, what do you do if a person still cannot void after the removal of the catheter and treatment with alpha blockers?
Organise TURP surgery.
What is Chronic Urinary Retention?
Painless, palpable and percussive bladder.
Aetiology of CUR?
Primary - Bladder failure
Secondary - Longstanding BOO, BPO or urethral stricture.