Urinary retention: Difference between revisions
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In [[medicine]], '''urinary retention''' is "inability to empty the [[urinary bladder]] with voiding ([[urination]]).<ref>{{MeSH}}</ref> | In [[medicine]], '''urinary retention''' is "inability to empty the [[urinary bladder]] with voiding ([[urination]]).<ref>{{MeSH}}</ref> Ten percent of males over the age of 50 may have undiagnosed urinary retention during routine physical examination.<ref name="pmid8163963">{{cite journal| author=Rosenthal TC, Siepel T, Zubler J, Horwitz M| title=The use of ultrasonography to scan the abdomen of patients presenting for routine physical examinations. | journal=J Fam Pract | year= 1994 | volume= 38 | issue= 4 | pages= 380-5 | pmid=8163963 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=8163963 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> | |||
In males, antimuscarinic [[cholinergic antagonist]]s may contribute to retention.<ref name="pmid19683302">{{cite journal| author=Martín-Merino E, García-Rodríguez LA, Massó-González EL, Roehrborn CG| title=Do oral antimuscarinic drugs carry an increased risk of acute urinary retention? | journal=J Urol | year= 2009 | volume= 182 | issue= 4 | pages= 1442-8 | pmid=19683302 | In males, antimuscarinic [[cholinergic antagonist]]s may contribute to retention.<ref name="pmid19683302">{{cite journal| author=Martín-Merino E, García-Rodríguez LA, Massó-González EL, Roehrborn CG| title=Do oral antimuscarinic drugs carry an increased risk of acute urinary retention? | journal=J Urol | year= 2009 | volume= 182 | issue= 4 | pages= 1442-8 | pmid=19683302 | ||
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==Diagnosis== | ==Diagnosis== | ||
Urinary retention may be asymptomatic.<ref name="pmid8163963">{{cite journal| author=Rosenthal TC, Siepel T, Zubler J, Horwitz M| title=The use of ultrasonography to scan the abdomen of patients presenting for routine physical examinations. | journal=J Fam Pract | year= 1994 | volume= 38 | issue= 4 | pages= 380-5 | pmid=8163963 | |||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=8163963 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> | |||
===Physical examination=== | ===Physical examination=== | ||
[[Physical examination]] may detect less than half of cases of postoperative bladder size greater than 400 ml compared to [[ultrasonography]].<ref name="pmid10839085">{{cite journal| author=Warner AJ, Phillips S, Riske K, Haubert MK, Lash N| title=Postoperative bladder distention: measurement with bladder ultrasonography. | journal=J Perianesth Nurs | year= 2000 | volume= 15 | issue= 1 | pages= 20-5 | pmid=10839085 | [[Physical examination]] may detect less than half of cases of postoperative bladder size greater than 400 ml compared to [[ultrasonography]].<ref name="pmid10839085">{{cite journal| author=Warner AJ, Phillips S, Riske K, Haubert MK, Lash N| title=Postoperative bladder distention: measurement with bladder ultrasonography. | journal=J Perianesth Nurs | year= 2000 | volume= 15 | issue= 1 | pages= 20-5 | pmid=10839085 | ||
Revision as of 23:53, 1 December 2009
In medicine, urinary retention is "inability to empty the urinary bladder with voiding (urination).[1] Ten percent of males over the age of 50 may have undiagnosed urinary retention during routine physical examination.[2]
In males, antimuscarinic cholinergic antagonists may contribute to retention.[3]
Diagnosis
Urinary retention may be asymptomatic.[2]
Physical examination
Physical examination may detect less than half of cases of postoperative bladder size greater than 400 ml compared to ultrasonography.[4]
Ultrasonography
Bladder ultrasonography may detect urinary retention and reduce unnecessary urinary catheterization[5], but false positives may occur due to cysts of nearby organs.[6]
Treatment
Postoperative urinary retention (> 500 ml of urine estimated by bladder scanning) may be better treated with intermittent urinary catheterization rather than indwelling urinary catheterization.[7]
The use of bladder ultrasonography may reduce the frequency of intermittent urinary catheterization among patients with spinal cord disorders.[8] Although the use of protocols with bladder scanners to reduce the frequency of urinary catheretization are recommended[9], implementing a critical pathway with a bladder scanner may[4] or may not[10] increase the use of scanning prior to insertion of a urinary catheter.
References
- ↑ Anonymous (2024), Urinary retention (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ 2.0 2.1 Rosenthal TC, Siepel T, Zubler J, Horwitz M (1994). "The use of ultrasonography to scan the abdomen of patients presenting for routine physical examinations.". J Fam Pract 38 (4): 380-5. PMID 8163963.
- ↑ Martín-Merino E, García-Rodríguez LA, Massó-González EL, Roehrborn CG (2009). "Do oral antimuscarinic drugs carry an increased risk of acute urinary retention?". J Urol 182 (4): 1442-8. DOI:10.1016/j.juro.2009.06.051. PMID 19683302. Research Blogging.
- ↑ 4.0 4.1 Warner AJ, Phillips S, Riske K, Haubert MK, Lash N (2000). "Postoperative bladder distention: measurement with bladder ultrasonography.". J Perianesth Nurs 15 (1): 20-5. PMID 10839085.
- ↑ Sparks A, Boyer D, Gambrel A, Lovett M, Johnson J, Richards T et al. (2004 Jul-Sep). "The clinical benefits of the bladder scanner: a research synthesis.". J Nurs Care Qual 19 (3): 188-92. PMID 15326987.
- ↑ Alagiakrishnan K, Valpreda M (2009). "Ultrasound bladder scanner presents falsely elevated postvoid residual volumes.". Can Fam Physician 55 (2): 163-4. PMID 19221075. PMC PMC2642496.
- ↑ Lau H, Lam B (2004). "Management of postoperative urinary retention: a randomized trial of in-out versus overnight catheterization.". ANZ J Surg 74 (8): 658-61. DOI:10.1111/j.1445-1433.2004.03116.x. PMID 15315566. Research Blogging.
- ↑ Anton HA, Chambers K, Clifton J, Tasaka J (1998). "Clinical utility of a portable ultrasound device in intermittent catheterization.". Arch Phys Med Rehabil 79 (2): 172-5. PMID 9473999.
- ↑ Lo E, Nicolle L, Classen D, Arias KM, Podgorny K, Anderson DJ et al. (2008). "Strategies to prevent catheter-associated urinary tract infections in acute care hospitals.". Infect Control Hosp Epidemiol 29 Suppl 1: S41-50. DOI:10.1086/591066. PMID 18840088. Research Blogging. Summary at National Guidelines Clearinghouse
- ↑ Boyer DR, Steltzer N, Larrabee JH (2009 Jan-Mar). "Implementation of an evidence-based bladder scanner protocol.". J Nurs Care Qual 24 (1): 10-6. DOI:10.1097/NCQ.0b013e31818f52bd. PMID 19092473. Research Blogging.