Urinary retention: Difference between revisions

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==Diagnosis==
==Diagnosis==
===Ultrasonography===
===Ultrasonography===
Bladder [[ultrasonography]] may detect urinary retention, but false positives may occur due to cysts of nearby organs.<ref name="pmid19221075">{{cite journal| author=Alagiakrishnan K, Valpreda M| title=Ultrasound bladder scanner presents falsely elevated postvoid residual volumes. | journal=Can Fam Physician | year= 2009 | volume= 55 | issue= 2 | pages= 163-4 | pmid=19221075  
Bladder [[ultrasonography]] may detect urinary retention and reduce unnecessary [[urinary catheterization]]<ref name="pmid15326987">{{cite journal| author=Sparks A, Boyer D, Gambrel A, Lovett M, Johnson J, Richards T et al.| title=The clinical benefits of the bladder scanner: a research synthesis. | journal=J Nurs Care Qual | year= 2004 Jul-Sep | volume= 19 | issue= 3 | pages= 188-92 | pmid=15326987
| 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=15326987 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref>, but false positives may occur due to cysts of nearby organs.<ref name="pmid19221075">{{cite journal| author=Alagiakrishnan K, Valpreda M| title=Ultrasound bladder scanner presents falsely elevated postvoid residual volumes. | journal=Can Fam Physician | year= 2009 | volume= 55 | issue= 2 | pages= 163-4 | pmid=19221075  
| 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=19221075 | pmc=PMC2642496 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref>
| 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=19221075 | pmc=PMC2642496 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref>



Revision as of 23:13, 1 December 2009

In medicine, urinary retention is "inability to empty the urinary bladder with voiding (urination).[1]

In males, antimuscarinic cholinergic antagonists may contribute to retention.[2]

Diagnosis

Ultrasonography

Bladder ultrasonography may detect urinary retention and reduce unnecessary urinary catheterization[3], but false positives may occur due to cysts of nearby organs.[4]

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.[5]

The use of bladder ultrasonography may reduce the frequency of intermittent urinary catheterization among patients with spinal cord disorders.[6]

References

  1. Anonymous (2024), Urinary retention (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.