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Related Experiment Videos

Psychogenic urinary retention.

D K Montague, L R Jones

    Urology
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Psychogenic urinary retention, a condition diagnosed after extensive medical evaluation, can be effectively managed. Treatment involves a combination of behavioral therapies and intermittent self-catheterization for positive outcomes.

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    Area of Science:

    • Psychiatry
    • Urology
    • Behavioral Medicine

    Background:

    • Unexplained urinary retention poses a diagnostic challenge, necessitating comprehensive medical and urologic assessments.
    • Psychogenic urinary retention is a diagnosis of exclusion after ruling out organic causes.

    Observation:

    • Six cases of unexplained urinary retention (5 female, 1 male) were identified.
    • Patients underwent extensive medical, urologic, urodynamic, and neurologic evaluations.
    • Psychiatric consultation confirmed the diagnosis of psychogenic urinary retention.

    Findings:

    • A multimodal treatment approach was employed, integrating biofeedback-monitored relaxation and imagery techniques.
    • Intermittent self-catheterization on a fixed schedule was a key component of management.

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  • Psychotherapy, pharmacotherapy, and behavior therapy were also utilized.

    • Implications:

    • This case series suggests that psychogenic urinary retention is a viable diagnosis.
    • A combination of behavioral interventions and self-catheterization can yield good to excellent short-term results.
    • Further research into the long-term efficacy of these treatments is warranted.