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[Urine retention-From the symptom to the structure]
A Wiedemann1, H J Heppner2,3
1Urologische Abteilung, Evangelisches Krankenhaus Witten gGmbH, Pferdebachstr. 27, 58455, Witten, Deutschland. awiedemann@evk-witten.de.
Zeitschrift Fur Gerontologie Und Geriatrie
|February 14, 2023
Summary
Urinary retention, the inability to urinate, can be acute or chronic. This article details diagnostic approaches and treatment strategies, including catheterization, for managing urinary retention effectively.
Area of Science:
- Urology
- Nephrology
Context:
- Urinary retention presents a significant clinical challenge, necessitating accurate diagnosis and timely intervention.
- Distinguishing between acute and chronic urinary retention is crucial for effective management.
Purpose:
- To differentiate between acute and chronic urinary retention based on symptoms and initial residual urine volume.
- To outline emergency and definitive treatment strategies for urinary retention.
- To present structured decision-making processes for managing urinary retention.
Summary:
- Urinary retention is defined as the inability to urinate, with acute and chronic forms identified by symptoms and residual urine volume.
- Causes include subvesical obstruction and bladder atony.
- Initial management involves bladder decompression via catheterization, followed by definitive treatment guided by the acute or chronic classification.
Impact:
- Provides a structured approach to diagnosing and managing urinary retention.
- Aids clinicians in selecting appropriate treatment pathways.
- Improves patient outcomes by ensuring timely and accurate interventions for urinary retention.
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