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Acute urinary retention in a young man secondary to colonic irrigation: a case report
Omer A Raheem1, Ronan M Long, Rowan G Casey
1Department of Urology, University of Dublin, Trinity College, St James's Hospital James's Street, Dublin 8 Ireland.
Introduction:
Autonomic innervation of the bladder is complex and regulated by a hierarchy of mechanisms of the central nervous system. Any dysfunction in these regulatory mechanisms can lead to acute urinary retention.
Case Presentation:
A 36-year-old Caucasian man presented with acute urinary retention following extensive bowel irrigation. His urinary bladder was decompressed and his normal voiding mechanism was restored thereafter.
Conclusion:
We postulate that prolonged anorectal and sigmoid dilatation can stimulate the recto-vesicourethral reflex and lead to acute urinary retention via autonomic dysfunction.
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