What is urinary retention and how does it affect you? It is possible to have either acute or chronic urinary retention, which is defined as the body’s inability to completely empty the bladder after urinating. urinary retention meaning,
UTI (acute urinary retention) is a condition that occurs quickly and causes significant discomfort or agony. Having acute urinary retention means that one cannot urinate at all (even when one’s bladder is completely full). This medical condition, which is potentially life-threatening, calls for immediate emergency medical attention.READ ALSO covid 19 and the need for action on mental health
What is urinary retention and how does it affect you?
Chronic urine retention — also known as urinary incontinence — is a medical issue that can last for years. People who suffer from chronic urinary retention are able to urinate, but they are unable to entirely empty their bladders of all of the urine. It is possible that a person will not be aware of having this illness until they have additional symptoms such as urinary incontinence or a urinary tract infection.
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Urinary retention can occur in anyone at any time. Women are more susceptible to prostate cancer than men in their fifties and sixties, primarily because of an enlarged prostate.
A woman can also be impacted by urine retention if she has a condition known as Cystocele, which occurs when the bladder begins to droop or slides out of its usual position. The colon can also be yanked out of position when the lower half of the colon begins to droop, which is caused by a condition known as Rectocele.
What factors contribute to urine retention?
Urinary retention can be linked to one of two types of causes: obstruction or non-obstruction of the bladder.
There is a blockage when there is an obstruction (for example, bladder or kidney stones), which prevents urine from flowing freely through your urinary track. As a result, you may get acute urine retention, which is potentially life threatening. You must get emergency treatment as soon as possible.
Among the non-obstructive causes of urinary incontinence include a weaker bladder muscle and nerve issues that interfere with the transmission of signals between the brain and the bladder. If your nerves aren’t functioning properly, your brain may not receive the message that your bladder is completely full.
The following are some of the causes of obstructed urinary retention:
(causes of urinary retention)
Enlarged prostate in men is referred to as BPH.
Certain tumors and malignancies have been identified.
Urethral stricture is a condition that affects the urethra.
Cystocele or rectocele are two terms used to refer to the same thing.
Stones in the kidneys or bladder
The following are the most common causes of non-obstructive urine retention:
Vaginal birth is the most common type of childbirth.
Trauma or injury to the pelvis
Men and women are both affected by nerve illness.
Muscle or nerve function that has been impaired as a result of medicine or anesthesia
Accidents that result in brain or spinal cord injuries
What are the signs and symptoms of urine incontinence?
The following are the symptoms of urine retention depending on whether you have Acute or Chronic Urinary Retention:
Acute urinary retention symptoms necessitate prompt medical attention and include:
Inability to urinate on command
Urinary urgency that is excruciatingly painful
Pain or discomfort in the lower abdomen that is severe.
Lower abdominal bloating is a condition that occurs when there is a buildup of fluid.
Symptoms of chronic urine retention may include the following:
Urinary frequency is defined as urinating at least eight times each day.
Having difficulty starting a pee stream
The presence of a weak or intermittent urine stream
Urgent urge to urinate, however having trouble urinating due to a lack of success
When you feel the desire to urinate after you have finished urinating
Pain in the lower abdomen and urinary tract that is mild and continuous
Having trouble completely emptying the bladder
Incontinence should be urged
Lack of capacity to detect when one’s bladder is full, as well as increased abdominal pressure
Efforts to force pee out of the bladder are exhausting.
Nocturia is a type of nocturia (waking up more than two times at night to urinate)
What is the procedure for diagnosing urinary retention?
When it comes to acute urine retention, the signs and symptoms are generally evident. For example, you will be highly uncomfortable, unable to pass urine, and will have a bloated bladder as a result of this condition. When it comes to chronic urinary retentions, your doctor may need to undertake a number of tests before making a diagnosis. This is due to the fact that some of the symptoms are similar to those of other illnesses affecting the bladder and urinary system.
When it comes to men, an enlarged prostate is very common, and therapy can begin as soon as the problem is identified. The medical history and physical examination will be used to assess whether or not urine retention is a cause for worry in these situations. A medical professional would also look for more dangerous reasons of urine retention such as cauda equina syndrome or spinal cord compression, among other things. What is urinary retention and how does it affect you?
In most cases, however, your doctor will identify acute or chronic urine retention by looking for the following signs and symptoms:
If you have a dilated bladder, a physical examination of the lower abdomen will detect if you have it by lightly tapping on the lower abdominal area.
An ultrasound is used to assess the amount of pee that remains in the bladder after urination, which is known as post-void residual measurement. In addition, your doctor may use a catheter to measure post-void residual urine (usually under local anaesthetic).
These tests may also be used to help determine the reason of urinary retention, which includes the following:
Cystoscopy – Using a special equipment known as a cystoscope, your doctor will examine the urethra and bladder to determine if there are any abnormalities.
Ct scans (computed tomography) – A combination of x-rays and computer technology produces images that can reveal things such as urinary tract stones, urinary tract infections, tumors, severe injuries and scarring, and cysts.
Urodynamic testing include the following:
Uroflowmetry is used to determine the speed and amount of urine flow.
Pressure flow study – To determine the amount of bladder pressure required to urinate as well as the amount of flow rate generated by a particular pressure.
Video urodynamics is the process of creating real-time images (using x-ray or ultrasound) of the bladder and urethra as the bladder is being filled or emptied in the patient.
In electromyography, specific sensors are used to assess the electrical activity of muscles and nerves in and around the bladder and sphincter muscles and sphincter muscles.
What is the treatment for urine retention?
Your doctor or specialist may prescribe medication to alleviate your urine retention.
bladder drainage is a medical term that refers to the removal of waste from the bladder.
urethral dilation is the dilatation of the urethra.
urethral stents, prostate medicines, and surgical intervention
The type of treatment and the amount of time required will be determined by the type and cause of urinary retention.
Drainage of the Bladder
Bladder drainage is the process of draining urine through a catheter. Acute urinary retention treatment is typically initiated with catheterization in order to alleviate the discomfort of a full bladder and to prevent further bladder damage from occurring. A catheter is passed through the urethra and into the bladder, where it is then possible to begin draining the urine. This procedure is performed under local anesthesia. It is possible for the urethra to become obstructed. If this occurs, your doctor will administer anesthesia before inserting a catheter straight into the bladder through the lower abdomen, just above the pubic bone.
You may require occasional or long-term catheterization if other therapies for persistent urinary retention are unsuccessful. You will be instructed by your doctor on how to self catheterize in order to drain urine as necessary.
Dilation of the Urethra
In order to treat urethral stricture, urethral dilation is performed. These procedures involve introducing gradually bigger tubes into the urethra or inflating a small balloon at the end of a catheter that is placed within the urethra in order to achieve the desired result. Both treatments help to expand the stricture, making it simpler for urine to pass through. The treatment is often conducted under local anaesthesia, although you may also be given sedation and regional anaesthesia in some instances.
Urethral Stents are a type of stent that is placed in the urethra.
Another option for treating urethral stricture is to introduce an artificial tube, known as a stent, into the urethra and guiding it to the site of the stricture, as described above. Stents are available in both temporary and permanent forms, and once in place, they extend like a spring, pushing back the surrounding tissue and expanding the urethra as a result.
Medications for the prostate
The growth or shrinkage of the prostate, as well as the relief of urinary retention symptoms associated with Benign Prostatic Hyperplasia, may be prescribed by your doctor as a single prescription or a combination of treatments (enlarged prostate).
What are the risks and complications of urinary retention, as well as the therapies available?
Some of the difficulties of urinary retention, as well as possible therapies, include:
Because urine is normally sterile, and because the regular flow of urine generally prevents bacteria from infecting the urinary tract, developing urinary retention indicates that an abnormal urine flow provides bacteria at the opening of the urethra with an opportunity to infect the urinary tract.
Causing lasting muscle damage to your bladder is possible if your bladder is stretched too far or for an extended period of time. The muscles in your bladder may become permanently injured and lose their ability to contract properly.
Kidney damage – Urinary retention can sometimes cause urine to flow back into the kidneys, causing kidney damage. This is referred to as reflux, and it can cause injury or scarring to the kidneys.
Men who undergo transurethral prostate surgery to treat an enlarged prostate may experience urine incontinence as a result of the procedure. Urinary incontinence can also occur following tumor or cancer surgery. It’s usually just temporary, with the majority of men regaining bladder control within a few weeks or months of their operation. Urinary incontinence may occur as a result of the removal of tumors or malignant tissue from the bladder, prostate, or urethra during surgery.
What measures can be taken to avoid urinary retention? urinary retention treatment,
For males, consider the following:
Take prostate drugs as prescribed by your doctor if you have an enlarged prostate and avoid medications that cause urinary retention, such as over-the-counter cold and allergy medications that contain decongestants, if you have an enlarged prostate.
If you have a moderate cystocele or rectocele, you may be able to reduce urine retention by performing pelvic muscle strengthening exercises.