https://dhanbadurologist.com/urinary-retention-causes-symptoms-treatment/

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Urinary Retention Common Causes, Symptoms And
Treatment Options

• Dr. Saket Narnoli

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What is Urinary Retention?

• Urinary retention occurs when a person is unable
  to empty their bladder completely after
  urinating. In some cases of acute urinary
  retention, the bladder may become so full that
  urinating is impossible. The bladders main
  function is to store urine produced by the
  kidneys until it can be emptied during urination.
  Urinary retention develops when something blocks
  the normal flow of urine from the bladder out of
  the body.

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Urinary Retention..

• Two main types of urinary retention

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Symptoms of Urinary Retention

• Acute Urinary Retention Symptoms
• Sudden and complete inability to pass urine
• Severe pain or discomfort in the lower abdomen
  and bladder area
• Feeling of bladder fullness
• Swelling or tenderness over the bladder
• Chronic Urinary Retention Symptoms
• Frequent urination of small amounts of urine
• Urgency to urinate but inability to pass urine
  fully
• Weak urine stream
• Dribbling of urine after urinating
• Feeling of incomplete bladder emptying
• Recurrent urinary tract infections

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Causes of Urinary Retention

• Benign Prostatic Hyperplasia (BPH) Enlargement
  of the prostate gland is the most common cause of
  urinary retention in older men. It squeezes the
  urethra and obstructs urine flow.
• Infections Bacterial prostatitis or interstitial
  cystitis cause swelling around the urethra and
  obstruct urine flow.
• Medications Certain drugs like antihistamines,
  decongestants and muscle relaxants can cause
  urinary retention as a side effect.
• Urinary Stones Kidney stones or bladder stones
  get stuck in the urethra and prevent urination.

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Treatment for Urinary Retention

• For Acute Retention
• Catheterization is done immediately to drain the
  bladder and relieve pressure.
• The catheter is usually kept for 1-2 weeks until
  the obstruction is resolved.
• For Chronic Retention due to BPH
• Medications like alpha-blockers are first tried
  to shrink the prostate.
• For severe cases, minimally invasive procedures
  like TURP surgically remove prostate tissue.
• Other options are GreenLight laser vaporisation,
  Urolift implant or Rezum water vapour therapy.

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