Urinary Retention Procedures
Urinary retention procedures may involve surgical or non-surgical methods. Acute urinary retention may occur after you are administered anesthesia after a surgical procedure. It may also happen if you have an underlying urological problem that is preventing you from voiding properly. In either case, your bladder must be drained to avoid backup of urine and damage to the bladder or urinary tract. A catheter will be inserted through the urethra in order to empty the bladder. This will help prevent damage to the bladder and relieve the pressure against the bladder walls.
Urinary retention procedures can also be used for chronic urinary retention. Depending on your condition, you may have to perform self-catheterization on a regular basis. If so, it’s important to follow directions carefully to avoid catching a urinary tract infection (UTI). If a urinary infection is causing inflammation and swelling to restrict urine flow, you will be prescribed antibiotics.
Because prostate enlargement can cause urinary retention, prostate treatment may be necessary to relieve the pressure from the swollen prostate on the urethra. Some patients respond well to prostate medication to shrink the prostate. You may require prostate surgery if the medications are not working or if you suffer from severe symptoms. A transurethral resection of the prostate (TURP) is done to remove most of the enlarged prostate and immediately relieve any pressure or constriction of the urethra. A transurethral incision of the prostate (TUIP) is performed on slightly enlarged prostate and involves making one or two small incisions in the prostate gland.
Our doctors are also trained to perform laser surgery using a green light laser. A laser TURP-like procedure can remove prostate gland tissue by vaporizing it, causing less bleeding, and less trauma than traditional surgical procedures involving cutting. We may also suggest transurethral microwave therapy (TUMT), when our urologists use microwave energy to heat and destroy tissue of an enlarged prostate. Another procedure, transurethral needle ablation (TUNA), uses radio frequency therapy to also heat and destroy prostate tissue. Either of these procedures will shrink the prostate and help urine flow again. The latest prostate tissue removing procedure is called “the button”, it both vaporizes the tissue and cauterizes blood vessels.
Urinary retention procedures may involve the insertion of a catheter to keep the urine pathway open. In some cases, we can perform a urethral dilitation, in which tubes are inserted into the urethra to open the urethra and allow urine to flow better. Women with a prolapsed, or fallen, bladder may need bladder sling surgery to hold the bladder in its proper place. Other procedures may include taking medicine to shrink the bladder, or neural stimulation or neural implant to help the nerves send the proper signals to the brain to tell you it’s time to urinate.