Urinary Retention Flashcards

Acute and Chronic

1
Q

What is Acute Urinary Retention?

A

Painful inability to void with a palpable and percussive bladder.

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2
Q

Risk factors for AUR

A

UTI

Alcohol excess

Urethral stricture

Iatrogenic / Urological procedures

Constipation

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3
Q

What is the immediate treatment for acute urinary retention?

A

Catheterisation

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4
Q

What is the long-term treatment for AUR?

A

Find and treat underlying cause.

If there is NO RENAL FAILURE, then start Alpha-blocker therapy.

Remove catheter in 2 days.

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5
Q

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?

A

Organise TURP surgery.

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6
Q

What is Chronic Urinary Retention?

A

Painless, palpable and percussive bladder.

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7
Q

Aetiology of CUR?

A

Primary - Bladder failure

Secondary - Longstanding BOO, BPO or urethral stricture.

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