Urinary Retention

Urinary Retention

Urinary Retention
Urinary retention occurs incrementally through the years as the prostate squeezes the urethra more and more, building up the level of residual urine after voiding.[more]

Urinary Retention Symptoms

Urinary Retention Symptoms
Urinary retention symptoms cloudy urine, microscopic hematuria, and gross hematuria can be from bladder diverticuli in distended bladders.[more]

Urinary Retention Procedures

Urinary Retention Procedures
Urinary retention procedures include the button to vaporize prostate tissue, neurological stimulation implants, and prolapse surgery to lift a dropped bladder.[more]


Urinary Retention

Urinary retention is the medical term for the inability to empty the bladder. It can happen to both men and women. Urinary symptoms such as gross hematuria, microscopic hematuria, stress incontinence, frequent urination, cloudy urine, and painful urination can be bladder symptoms or prostate symptoms that are related to undiagnosed urinary retention. Some women get urinary retention from a bladder prolapse (also known as a dropped bladder or fallen bladder). A dropped bladder is one that has moved out of its normal position and pushes through the wall of the vagina (a condition called a cystocele) because of the weakening of muscles to hold the bladder in place. Urinary retention can sometimes occur with rectoceles, which is when the lower part of the colon falls out of place and into the back wall of the vagina. Bladder surgery called prolapse surgery is required to place the bladder and urethra back into its proper position so that normal voiding patterns occur.

Urinary retention often results in men who are 50 or older that develop an enlarged prostate. When the prostate gland swells, it can restrict the urethra (the pathway through which urine flows out of the body), making it difficult to urinate. A prostate exam will determine if you need prostate surgery to remove excess prostatic tissue blocking the urethra or if prostate cancer surgery such as a da Vinci prostatectomy, prostate cryosurgery, or prostate radiation is needed. In extreme cases of urinary retention when the prostate is over 100 grams in size a radical prostatectomy is required. Over time an enlarged prostate stretches the bladder until it becomes a weak bladder also known as a floppy bladder.

Other urinary retention causes include an obstruction in the urinary tract, such as a kidney stone or bladder stone. Infections can cause swelling and close the pathway for urine to flow. Some patients who are administered anesthesia during urologic surgery develop urinary retention in recovery. Kidney surgery to remove a kidney mass, kidney stones treatment and a pyeloplasty can clear the obstructions in the kidneys and ureters alleviating urinary retention and hydronephrosis.

Some patients have a neurogenic bladder that doesn’t empty due to a neurological condition. Signals sent to your brain to let you know when your bladder is full or signals to the muscle to push on the bladder and release the urine can be impaired. Nerves also send signals to the urinary sphincter to keep the bladder closed so you are not constantly dealing with a leaky bladder. An injury to the brain, the spinal cord, or the pelvic region can disrupt nerve and bladder function. Phimosis, which may obstruct and spray the flow of urine, may need penis surgery (circumcision). Peyronie’s disease which can curve the penis can be fixed with a penile surgery to remove the plaque buildup or a penile prosthesis (penis implant). Erectile dysfunction causes (impotence causes) generally do not affect urinary retention.

   
Urinary retention can be chronic or acute. Chronic urinary retention develops slowly. The symptoms are constantly appearing day to day. They can start mild and increase in frequency and in intensity. On the other hand, acute urinary retention happens suddenly and not as frequent. It’s when you have a full bladder but can’t urinate at all. In this case, you should be seen by a doctor right away. Call our office today if you suspect you have urinary retention. Any type of urine retention can cause bladder pain, bladder irritation, urinary tract infections, or severe damage to your urinary system, such as damage to your bladder or even kidney failure. With early detection and proper treatment, Urology Specialists can help relieve your symptoms and assist you in getting back to your normal daily routine as soon as possible.

 

Urinary Retention (continued)

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