RT Book, Section
A1 Glass, Casey
A2 Cydulka, Rita K.
A2 Fitch, Michael T.
A2 Joing, Scott A.
A2 Wang, Vincent J.
A2 Cline, David M.
A2 Ma, O. John
SR Print(0)
ID 1143140992
T1 Acute Urinary Retention
T2 Tintinalli's Emergency Medicine Manual, 8e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071837026
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1143140992
RD 2024/04/18
AB Urinary  retention  can  be  either  acute  or  chronic.  The  most  common  cause  of  retention  is  outlet  obstruction  secondary  to  benign  prostatic  hyperplasia  (BPH)  in  men,  although  medication  use,  acute  neurologic  dysfunction,  urinary  tract  bleeding  or  calculi,  and  other  anatomic  obstruction  are  also  common  causes  in  both  men  and  women.  Acute  syndromes  typically  present  with  rapid  onset  of  lower  abdominal  pain  occasionally  radiating  to  the  lower  back.  Patients  typically  complain  of  difficulty  voiding  but  some  may  not  volunteer  this  information.  There  is  a  20%  chance  of  a  recurrence  in  the  following  6  months  after  an  episode  of  acute  obstruction.  Chronic  obstruction  usually  presents  with  lower  abdominal  discomfort  and  the  patient  may  note  incomplete  voiding  or  the  need  to  void  frequently.  Overflow  incontinence  is  often  present.