Acute urinary retention - Revision history

Danbot: Add to Category:Symptoms - common EM chief complaint

2026-03-22T09:41:44Z

Add to Category:Symptoms - common EM chief complaint

2026-03-20T18:36:06Z

Add MedicationDose entry (tamsulosin) with SMW annotations

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 *Urology consult
 **Consider for precipitated retention (e.g. stricture, prostatitis, cancer) or need for [[suprapubic catheterization]]
 ==Disposition==

2023-11-15T22:11:57Z

Background

← Older revision		Revision as of 22:11, 15 November 2023
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	==Background==		==Background==
			[[File:Urinary system.png\|thumb\|'''(1) Human urinary system:''' (2) kidney; (3) renal pelvis; (4) ureter; (5) urinary bladder (6) urethra. <Br>'''Additional structures:''' (7) adrenal gland; (8) renal artery and vein; (9) inferior vena cava; (10) abdominal aorta; (11) common iliac artery and vein; (12) liver; (13) large intestine; (14) pelvis.]]
			[[File:2605 The Bladder.jpg\|thumb\|Anatomy of the male bladder, showing transitional epithelium and part of the wall in a histological cut-out.]]
	*Urologic emergency characterized by sudden inability to pass urine		*Urologic emergency characterized by sudden inability to pass urine
	*Most common cause is [[benign prostatic hyperplasia]] (BPH)		*Most common cause is [[benign prostatic hyperplasia]] (BPH)

2023-11-15T22:10:46Z

Evaluation

← Older revision		Revision as of 22:10, 15 November 2023
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	==Evaluation==		==Evaluation==
			[[File:Ultrasound of trabeculated urinary bladder.jpg\|thumb\|Ultrasound of distended from urinary retention. Note trabeculated wall, which is a sign of urinary retention.]]
	[[File:Harnverhalt.jpg\|thumb\|Bladder distension from acute urinary retention seen on CT.]]		[[File:Harnverhalt.jpg\|thumb\|Bladder distension from acute urinary retention seen on CT.]]
	*[[UA]]/Urine cultures		*[[UA]]/Urine cultures

2023-11-15T22:09:47Z

Evaluation

← Older revision		Revision as of 22:09, 15 November 2023
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	==Evaluation==		==Evaluation==
			[[File:Harnverhalt.jpg\|thumb\|Bladder distension from acute urinary retention seen on CT.]]
	*[[UA]]/Urine cultures		*[[UA]]/Urine cultures
	*Chemistry		*Chemistry

2023-11-15T22:04:27Z

Clinical Features

← Older revision		Revision as of 22:04, 15 November 2023
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	==Clinical Features==		==Clinical Features==
	[[File:Urinary retention.jpg\|thumb\|]]		[[File:Urinary retention.jpg\|thumb\|Patient with acute urinary retention and dramatic bladder distention.]]
	*Suprapubic abdominal distention and/or pain		*Suprapubic abdominal distention and/or pain
	*Frequency, urgency, hesitancy, dribbling, decrease in voiding stream		*Frequency, urgency, hesitancy, dribbling, decrease in voiding stream

2023-11-15T22:03:40Z

Clinical Features

← Older revision		Revision as of 22:03, 15 November 2023
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	==Clinical Features==		==Clinical Features==
			[[File:Urinary retention.jpg\|thumb\|]]
	*Suprapubic abdominal distention and/or pain		*Suprapubic abdominal distention and/or pain
	*Frequency, urgency, hesitancy, dribbling, decrease in voiding stream		*Frequency, urgency, hesitancy, dribbling, decrease in voiding stream

2023-10-28T00:41:53Z

Admission

← Older revision		Revision as of 00:41, 28 October 2023
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	==Disposition==		==Disposition==
	===Admission===		===Admission===
	~~Consider~~ for:		Admit for:
	*[[Post-obstructive diuresis]] >200mL/hr for 2 hours or 3L over 24 hours		*[[Post-obstructive diuresis]] >200mL/hr for 2 hours or 3L over 24 hours (will need fluids and electrolyte monitoring/repletion)
	*Elevated BUN/Cr ([[acute renal failure]])		*Elevated BUN/Cr ([[acute renal failure]])
	*Significant [[hematuria]] or clot retention		*Significant [[hematuria]] or clot retention

2021-02-09T22:03:50Z

Bladder Decompression

← Older revision		Revision as of 22:03, 9 February 2021
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	**Rate of decompression: rapid complete drainage		**Rate of decompression: rapid complete drainage
	***At one time, rapid complete bladder decompression was thought to increase the rate of potential complications, however partial drainage and clamping does not reduce these complications and may increase risk for [[UTI]]<ref>Management of urinary retention: rapid versus gradual decompression and risk of complications</ref>		***At one time, rapid complete bladder decompression was thought to increase the rate of potential complications, however partial drainage and clamping does not reduce these complications and may increase risk for [[UTI]]<ref>Management of urinary retention: rapid versus gradual decompression and risk of complications</ref>
	*If unable to pass ~~Foleyconsider~~:		*If unable to pass Foley, consider:
	**[[Coude catheter]]		**[[Coude catheter]]
	**[[Suprapubic catheterization]]		**[[Suprapubic catheterization]]

2021-02-09T21:52:11Z

Background

← Older revision		Revision as of 21:52, 9 February 2021
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	==Background==		==Background==
	*Urologic emergency characterized by sudden inability to pass urine		*Urologic emergency characterized by sudden inability to pass urine
	*Most common cause is benign prostatic hyperplasia (BPH)		*Most common cause is [[benign prostatic hyperplasia]] (BPH)
	*Rare in women		*Rare in women