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Related Experiment Videos

Acute urinary retention in children.

J M Gatti1, M Perez-Brayfield, A J Kirsch

  • 1Division of Pediatric Urology, Emory University School of Medicine and Children's Healthcare of Atlanta Hospitals, Atlanta, Georgia, USA.

The Journal of Urology
|February 15, 2001
PubMed
Summary

Acute urinary retention in children is rare, with neurological issues being a significant cause. Prompt neurological evaluation and imaging are crucial when the cause is unclear.

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Area of Science:

  • Pediatric Urology
  • Pediatric Nephrology
  • Pediatric Emergency Medicine

Background:

  • Acute urinary retention (AUR) is uncommon in children and has different causes than in adults.
  • Literature on pediatric AUR is limited, highlighting the need for further research into its diverse etiologies.
  • This study reviews the experience with pediatric patients presenting with AUR at two major children's hospitals.

Purpose of the Study:

  • To investigate the causes and characteristics of acute urinary retention in pediatric patients.
  • To identify demographic and etiological differences in pediatric AUR.
  • To provide insights for the diagnosis and management of AUR in children.

Main Methods:

  • A retrospective review of medical records for pediatric patients diagnosed with urinary retention over a 6-year period.

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  • Defined urinary retention as inability to void volitionally for >12 hours with excessive bladder volume or a distended bladder.
  • Excluded cases related to postoperative complications, chronic neurological disorders, or reduced mental status.

    • Main Results:

    • 53 children (37 boys, 16 girls) were identified with AUR.
    • Key etiologies included neurological processes (17%), severe voiding dysfunction (15%), urinary tract infection (13%), and constipation (13%).
    • Gender-specific differences were observed: adverse drug effects and dysfunctional voiding were more common in males, while UTIs and constipation were more frequent in females.

    Conclusions:

    • Acute urinary retention in children is rare but often associated with underlying neurological abnormalities.
    • When the cause of AUR is not apparent from initial assessment, prompt neurological evaluation and imaging are recommended.
    • Understanding the diverse causes of pediatric AUR is essential for timely diagnosis and effective management.