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Urinary Retention (Diagnosis (DRE, Perianal sensation felt, Tender abdomen…
Urinary Retention
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It is characterized as a progressive condition that is not painful. But involves the patient expanding in weight and waist size. It is associated with an increased risk of stones and infection . The bladder capacity increases to 1.5 L
Causes:
In women the main cause will be prolapse or a pelvic mass. Other problems can also be a gynecological malignancy or an ovarian cyst. More over infections such as HIV, HSV can cause it
In men the main problem of urinary retention is BPH, bladder cancer and a bladder calculi. The problem can also be due to either prostatitis or a prostatic abscess
In Both Genders: Drugs such as CCB, Alcohol, alpha neuroreceptors, benzediazoprine, NSAIDs and anticholinergics can cause it. Alongside urethral strictures, constipation and neurological spinal compression such as caudal equina syndrome
This is when there is a sudden painful onset of not being able to pass urine. It usually happens when more than 600ml of liquid is in the bladder. A normal person needs to go to the toilet when they have 300ml in their bladder
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