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Female urinary retention.

J S Wheeler1, D J Culkin, J S Walter

  • 1Department of Urology, Loyola University Medical Center, Maywood, Illinois.

Urology
|May 11, 1990
PubMed
Summary
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Diagnosing female urinary retention can be challenging, as urodynamic tests often fail to distinguish between neurogenic and non-neurogenic causes. Self-intermittent catheterization proved most effective for both groups.

Area of Science:

  • Urology
  • Neuroscience

Background:

  • Urinary retention in females presents diagnostic challenges.
  • Urodynamic evaluation is crucial for understanding bladder function.

Purpose of the Study:

  • To review urodynamic results in 68 females with urinary retention.
  • To identify differentiating factors between neurogenic and non-neurogenic causes.
  • To assess treatment efficacy.

Main Methods:

  • Retrospective review of urodynamic results in 68 female patients.
  • Categorization into neurogenic (39 patients) and non-neurogenic (29 patients) groups.
  • Analysis of urodynamic parameters, including detrusor activity, flow rate, and bladder sensation.

Main Results:

Related Experiment Videos

  • Detrusor failure was the predominant urodynamic finding in both groups.
  • Urodynamic tests like flow rate and bethanechol supersensitivity test could not differentiate the causes.
  • Abnormal bladder sensation showed significant differences but lacked accuracy.
  • Self-intermittent catheterization was the most effective treatment for both neurogenic and non-neurogenic urinary retention.

    • Conclusions:

    • No single urodynamic test accurately differentiates neurogenic from non-neurogenic female urinary retention.
    • Comprehensive neurourologic evaluation is essential for guiding appropriate management strategies.
    • Self-intermittent catheterization offers a successful treatment option for various causes of female urinary retention.