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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
| Section 10. Renal and Genitourinary Disorders > |
Chapter 95. Acute Urinary Retention
Sections: Acute Urinary Retention: Introduction, Epidemiology, Pathophysiology, Clinical Features, Diagnosis, Treatment, Special Considerations, Disposition and Follow-Up, References.
Topics Discussed: urinary retention.
Excerpt:"Acute urinary retention is a common painful urologic emergency
characterized by a sudden inability to pass urine, and is associated
with lower abdominal distention or pain. Most patients with urinary
retention are elderly men, and the incidence and risk increase with
age. The most common cause of urinary retention is benign prostatic
hyperplasia (BPH), with or without precipitating factors, inducing
urinary bladder outlet obstruction.1 A comprehensive
history and physical examination are needed to identify the underlying
disease process and the factors triggering obstruction. The current
management of urinary retention involves the placement of a catheter
(urethral or suprapubic), supportive medical therapy, and disposition
decision making...."
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