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Urinary retention due to idiopathic megacolon
Urologia Internationalis
|January 1, 1987
Summary
A man with neurogenic bladder experienced urinary retention due to severe constipation caused by adult idiopathic megacolon. Surgical intervention with colostomy improved his bladder function and urination.
Area of Science:
- Urology
- Gastroenterology
- Neurology
Background:
- Neurogenic bladder dysfunction, often resulting from neurological conditions like cerebral infarction, can lead to complex urinary issues.
- Patients may present with symptoms such as urinary retention and abdominal distention, requiring thorough investigation.
Observation:
- A 58-year-old male patient with a history of neurogenic bladder due to cerebral infarction presented with acute urinary retention and abdominal distention.
- Imaging studies, including pelvic CT and excretory urogram, identified bladder neck obstruction.
- The obstruction was found to be caused by a significant accumulation of stool, indicative of adult idiopathic megacolon.
Findings:
- Adult idiopathic megacolon was diagnosed as the underlying cause of the severe constipation and subsequent bladder outlet obstruction.
- A surgical procedure involving sigmoid resection and permanent colostomy was performed to address the megacolon.
Implications:
- This case highlights the critical link between severe constipation from megacolon and urinary retention in patients with neurogenic bladder.
- Successful surgical management of the underlying gastrointestinal issue can lead to significant improvement in lower urinary tract symptoms.
- Urologists and gastroenterologists should consider megacolon as a potential cause of urinary retention in patients with pre-existing neurogenic bladder dysfunction.