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Difficulty emptying the bladder well or at all. To be able to urinate, the muscles surrounding the bladder must contract, the urethra must open and relax, and there should be a resulting free flow of urine. Urinary retention can occur if the bladder does not contract well enough, or at all, such as in neurogenic bladder or a bladder under the influence of certain medications. Urinary retention can also occur if the urethra does not relax during urination, or if the urethra is kinked off because of a prolapse, vaginal pessary or tampon. Urinary retention may be acute or chronic. Acute retention occurs when there is a sudden inability to empty the bladder. Chronic urinary retention usually happens over time. Patients with urinary retention may sense that they do not empty well, they may have urinary frequency or urgency, there may be a sense of a weaker stream, or there may not be any symptoms.
A bladder sonogram can be done, or a urinary catheter may be inserted in the bladder, after attempted urination to determine the postvoid residual, or how much urine is left after urination. Other diagnostic procedures may include a cystoscopy or urodynamic testing.
Treatments for Urinary Retention
Treatment of urinary retention will depend on the cause. If a patient is taking a certain medication that may promote urinary retention, that medication will be discontinued. If there is a neurogenic bladder, the underlying condition may be addressed, or neuromodulation may be an option. If the patient has prolapse of the vaginal walls or some sort of obstruction, that prolapse can be reduced with a pessary or a surgery and the obstruction is removed. Regardless of the cause of urinary retention, a catheter can be used chronically or intermittently to make sure the bladder empties well.
Continuous Intermittent Self Catheterization
Using a small catheter to empty the bladder multiple times throughout the day.
A technology in which a stimulation is sent to the nerves responsible for controlling urinary urgency, urinary frequency, urge related urinary incontinence, fecal incontinence and urinary retention. There are currently two main forms of neuromodulation. These are Sacroneuromodulation and Tibial Nerve Stimulation.
The information about urinary retention was reviewed by Dr. Maria Canter. If you have any questions, please don’t hesitate to contact us using our contact form below.