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Summary
Anal intercourse can cause acute urinary retention in men. Treatment with a Foley catheter, bethanechol, and phenoxybenzamine effectively restored normal urination in all affected individuals.
Area of Science:
- Urology
- Sexual Health
- Gastroenterology
Background:
- Acute urinary retention (AUR) is a common urological emergency.
- Anal intercourse is a sexual practice that may lead to specific medical complications.
- Reflex bladder inhibition is a known physiological response.
Purpose of the Study:
- To investigate the occurrence of acute urinary retention secondary to anal intercourse.
- To evaluate the efficacy of a specific treatment regimen for this condition.
Main Methods:
- Case series involving four homosexual men presenting with acute urinary retention.
- Initial treatment with an indwelling Foley catheter.
- Subsequent pharmacological treatment with bethanechol and phenoxybenzamine (Dibenzyline).
Main Results:
- All four patients experienced acute urinary retention attributed to anal intercourse.
- Successful restoration of normal micturition was achieved in all cases following treatment.
- The combination of catheterization and medication proved effective.
Conclusions:
- Anal dilatation during intercourse can trigger reflex bladder inhibition, leading to acute urinary retention.
- A multi-modal treatment approach involving catheterization and specific medications is effective for managing this condition.