TREAT URINARY RETENTION

diagnosis

Is diagnosed a Urinary retention initially by means of anamnesis and physical examination, whereby one on a abdominal (through the stomach) and rectal (through the rectum) Palpability of the bladder respect.
These studies are supported by Sonography (Ultrasonic), in which, if there is urinary retention, a bulging bladder sees.
Keep wearing Blood test and urine test for diagnosis "Urinary retention" at and an excretory urogram for radiological measurement of urine excretion in the lower urinary tract can be made.

therapy

In the acute emergency situation of urinary retention the bladder is emptied through a urethral catheter. This emptying takes place fractionally, i.e. in several small amounts, in order to prevent damage to the venous vessels overstretched by the urinary bladder. As an alternative to Catheterization can the bladder for relief also above the Pubic bone through the abdominal wall (suprapubic) are punctured and the urine is eliminated in this way.
Is there a Bladder tamponade as the cause away one the Blood clot with the help of a cystoscope, an endoscopic device for viewing the urethra and the bladder, which is advanced through the urethra into the bladder.
Mechanical constrictions, a traumatic urethral tear or a Descensus / lowering of the uterus on the other hand, they are supplied surgically, as is the case with Herniated disc of the lumbar spine possible. Drugs that cause urinary retention are either completely discontinued or reduced.
A postoperative urinary retention mostly regresses by itself; This can be supported by mobilizing the patient early after the operation or administering medication.
Otherwise, the underlying disease associated with urinary retention is treated.

Complications

Remains one timely therapy of urinary retention off, can various complications occur. On the one hand, the acute urinary retention can change into a persistent chronic one and into a Urinary stasis kidney to lead. This develops from the lack of emptying of the urinary bladder. The urine cannot flow out and instead backs up in the opposite direction through the ureter into the kidney back.
On the other hand, it can occur in the course of urinary retention Incontinence come. Due to the congested urine in the bladder, the pressure increases there until the urine involuntarily escapes and a so-called Overflow incontinence arises.
Urinary retention complications also include Urinary tract infections. Since the urine is not excreted, there is a certain lack of it Irrigation of the urinary tractso that germs from the outside can rise through the urethra and cause an infection.