Urinary retention Flashcards
What is the most common cause of acute urinary retention in men?
BPH
What are some common causes of acute urinary retention?
BPH Urethral strictures Masses Constipation Calculi Cystocoele Trauma Medications
What medications can cause acute urinary retention?5
Anticholinergics TCAs Antihistamines Opioids BZDs
What are common triggers of acute urinary retention?
UTI
Post op
Post partum
What is the presentation of acute urinary retention?
Painful inability to void with palpable and permissible bladder
Lower abdominal tenderness
What investigations are done for acute urinary retention?
Bladder US
U&Es
Urinalysis post catheterisation
What is he management of acute urinary retention?
Emergency= Catheterisation Defiitive= treat cause
What causes chronic urinary retention?
Usually detrusor under activity
Medications- anticholinergics esp
What is the presentation of chronic urianry retention?
Painless and percussible bladder post void Usually still voiding urine Lower urinary tract symptoms Overflow incontinence UTIs
What investigations are done for chronic urinary retention?
Bladder US
U&Es
Urinalysis
What is a normal residual volume of urine post void?
<50ml
What is the long term management of chronic urinary retention?
Self catheterisation
What are the complications of chronic urinary retention?
AKI
Permanent bladder dysfunction
