Urinary retention

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the condition of the body.


Clinical manifestations

Although

  urinary retention is characterized by the inability of the patient to empty a full bladder
  bladder, the patient may feel (or feel) that the bladder is full.
  Chronic urinary retention is most often found in patients with neurogenic
  bladder dysfunction and prostatizmom. Urinary incontinence can continue
  day and night. In the standard case, a person does not realize that the bladder
  full, although some patients
  with chronic urinary retention complain of frequent urge to urinate
  and nocturia. In rare cases the only symptom may be an increase in the abdomen.
  Patients with acute urinary retention is usually felt overdistension of the bladder
  and discomfort in this area.

most common causes of urinary retention:

      
      
  • Obstasctive

      

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  • primary detassor failure

      

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  • urethral stricture

      

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  • detassor areflexia

      

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  • increase prostate

      

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  • sclerosis

      

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  • malignant tumor in the lower urinary tract

      

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  • iatrogenic injury during surgery on the spine or abdomen

      

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  • malignant tumor in the small pelvis

      

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  • spinal cord trauma

      

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  • Bladder stones

      

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  • myelomeningocele

      

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  • Foreign body

      

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  • blood clot

      

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  • Valves rear part of the urethra

      

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  • urethrocele

Y
  middle-aged men with a history of gonococcal urethritis may be, and (or)
  urination disorders. After prostatectomy may develop urethral stricture
  channel and (or) contraction of the bladder neck, which can cause severe delays
  urine. Patients taking anticholinergic dasgs for other indications
  (Eg, irritable bowel syndrome), also are at risk,
  as urinary retention may be triggered farmologicheskimi reasons.


Diagnostics

Diagnosis
  put on physical examination. In this traditionally palpate bladder
  bubble over the pubis. It can act on the symphysis of 1-2 cm and more. Information
  can be obtained by abdominal ultrasonography after voiding or catheterization
  and measuring the volume of residual urine.

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