What Are The Possible Complications Of Urinary Retention
The complications of urinary retention and its treatments may include:
UTIs: the normal flow of urine usually prevents germs from infecting the urine. With urinary retention, bacteria may be able to infect the urine because the urine cannot flow out of the bladder.
Bladder damage: if the bladder becomes stretched too far or for long periods, the muscles may become damaged and unable to work properly.
Chronic kidney disease: for some people, urinary retention causes urine to flow backwards into the kidneys. This backward flow is called reflux and it may damage or scar the kidneys.
Urinary incontinence: this may occur together with chronic urinary retention or after surgery .
Prostate gland surgery may cause urinary incontinence in some men. This problem is often temporary and gets better quite quickly. Most men recover their bladder control in a few weeks or months after surgery.
Helpful Tips For Managing Urinary Retention And Incontinence
Urinary incontinence is a prevalent issue, with anywhere from 25-50 percent of women reporting an episode in the past year.
Managing urinary conditions can be frustrating and time consuming, but there are helpful tips and lifestyle changes that can reduce the burden this condition causes.
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How Do You Strengthen Your Urethral Sphincter
How to perform kegel exercises Sit on the toilet and start to urinate. Try to stop the flow of urine midstream by contracting your pelvic floor muscles. Repeat this action several times until you become familiar with the feel of contracting the correct group of muscles. This method of contraction is a kegel exercise.
What Is Retention In Dentistry
. Moreover, what is retention in prosthodontics?
Retention in complete dentures refer to the ability of that denture to resist displacement in a direction opposite the path of insertion ? Vertical forces are involved in retention e.g. sticky food gravity chewing action and oral musculature tongue cheeks etc.
Similarly, what is denture retention? Denture retention has been defined as ‘resistance of a denture to vertical movement away from the tissues’2 and as ‘that quality inherent in the prosthesis acting to resist the forces of dislodgement along the path of insertion’.
Keeping this in consideration, what is retention treatment?
Medication. There are several medications that your doctor might prescribe to help your urinary retention: antibiotics or other medications for urinary tract infection, prostatitis, or cystitis. medications that make your urethral sphincter and prostate relax so urine can flow through the urethra better.
How long does it take for teeth to stabilize after braces?
Relapse means that the teeth can take up to one year or more to stabilize after treatment. If you had gaps between your teeth before treatment, the retention period will be longer. Usually, retainers are worn for as long a time as you have had your braces.
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Uti From Catheter Use
Placement of a urinary catheter provides an opportunity for bacteria to enter the urinary tract. Bacteria may come from the patients anus and perineum or from the health workers hands. Health workers must take great care, using sterile technique, when placing a catheter. If you are performing clean intermittent catheterization, you must follow the same sterile procedures every time you handle the catheter.
Blockage In The Urethra
In order to urinate, all parts of your urinary tract need to be working properly anything that blocks the flow of urine can cause urinary retention. In men, the urethra may be blocked by an enlarged prostate, which is a common condition for older males. Blockages can also be caused by conditions such as urinary tract infections, urinary stones, and sexually transmitted diseases.
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Does Loratadine Cause Urinary Retention
. Likewise, people ask, do antihistamines cause urinary retention?
Over-the-counter cold and allergy medications that contain decongestants, such as pseudoephedrine, and antihistamines, such as diphenhydramine, can increase symptoms of urinary retention in men with prostate enlargement.
Likewise, what drugs can cause urinary retention? Urinary retention has been described with the use of drugs with anticholinergic activity , opioids and anaesthetics, alpha-adrenoceptor agonists, benzodiazepines, NSAIDs, detrusor relaxants and calcium channel antagonists.
One may also ask, what are the side effects of loratadine tablets?
Common Side Effects of Loratadine
- Dry eyes, dry mouth, dry throat.
- An opposite reaction in which you feel excited, jittery, or nervous, known as paradoxical CNS stimulation instead of drowsy or sleepy.
Can loratadine make you fail a drug test?
Loratadine is very similar to desloratadine. Do not use medications containing desloratadine while using loratadine. This medication may interfere with certain laboratory tests , possibly causing false test results.
Urinary Retention: Does Drinking Water Really Help
Urinary retention is a condition characterized by an inability to fully empty the bladder. The bladder serves as a storage tank for urine, a substance made by the kidneys after they have filtered out waste and extra water from your blood. Once made, the urine travels to the bladder where it will stay until a person is ready to urinate. In a healthy individual, the bladder can hold up to two cups of urine comfortably for up to five hours.
Urinary retention can occur for a variety of reasons. Among men, an enlarged prostate is the most common cause. Among women, bladder muscle dysfunction and urinary stones are the typical culprits. Individuals with this condition may experience:
- Feeling the need to urinate right after using the bathroom
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History Of Complaints And Physical Examination
A physician will suspect urinary retention by your symptoms and will attempt to confirm the diagnosis with a physical examination of the lower abdomen. The physician may be able to feel the distended bladder by lightly tapping on your lower belly. Tapping or striking for diagnostic purposes is called percussing.
What Is An Inability To Urinate
Urinary retention is the inability to completely empty your bladder. Urinary retention may be sudden in onset or gradual in onset and chronic . When you cannot empty your bladder completely, or at all, despite an urge to urinate, you have urinary retention. To understand how urinary retention occurs, it is important to understand the basics of how urine is stored in and released from the body.
The bladder is a hollow balloon-like organ in the lower part of the belly that stores and eliminates urine.
Urinary retention may cause harm to the function of the bladder and the kidneys, incontinence, and may increase the risk of urinary tract infections. Thus, it requires urgent medical attention for evaluation and management. In some cases, hospitalization is required.
Urinary retention is not an unusual medical condition, and it is more common in men than in women.
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Problems With The Nerves Supplying The Bladder
Urinary retention can result from problems with the nerves that control the bladder and the valves that control the flow of urine from the bladder.
Even when the bladder is full, the bladder muscles that squeeze urine out may not receive the signal to push. The sphincters may not receive the signal to relax and allow the bladder to empty. Possible causes of nerve problems that may cause urinary retention include diabetes, a stroke, multiple sclerosis or after an injury to the pelvis.
Some children are born with conditions that may affect the nerve signals to the bladder. For example spina bifida may cause urinary retention in newborn babies.
What Is The Treatment For An Inability To Urinate
If urinary retention is thought to be acute, severe, or painful, a Foley catheter may be inserted through the urethra into the bladder. This is a small, flexible rubber or silicone tube. Once it has reached the bladder, urine will drain out into a bag and the balloon is inflated to keep the catheter in place.
If a catheter cannot reach your bladder because of an obstruction in the urethra, an alternative procedure can be tried.
- The most common reason for the obstruction is a narrowing or stricture within the urethra. In this setting, a cystoscopy can often identify the area of narrowing, and a small wire can be passed through the narrowed area, and the area can be dilated with special dilators that pass over the wire and a catheter placed.
- In the situation in which a catheter cannot be placed through the urethra, the catheter can be placed through your skin, over your pubic bone, and through the lower abdominal wall directly into your bladder. This is called the suprapubic route. This procedure is generally performed by urologists. The tube will provide temporary drainage until the situation can be managed via a cystoscopic procedure.
In the last few years, devices have become available that can help some people with chronic urinary retention. For example, an implantable device is available that stimulates the nerves that control the bladder. These devices are typically placed by a urologist and/or urogynecologist for select indications.
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When To Seek Medical Care
A person who has any of the following symptoms should see a health care provider right away:
- complete inability to urinate
A health care provider may suspect urinary retention because of a patient’s symptoms and, therefore, perform a physical exam of the lower abdomen. The health care provider may be able to feel a distended bladder by lightly tapping on the lower belly.
Postvoid Residual Measurement
This test measures the amount of urine left in the bladder after urination. The remaining urine is called the postvoid residual. A specially trained technician performs an ultrasound, which uses harmless sound waves to create a picture of the bladder, to measure the postvoid residual. The technician performs the bladder ultrasound in a health care provider’s office, a radiology center, or a hospital, and a radiologist — a doctor who specializes in medical imaging — interprets the images. The patient does not need anesthesia.
A health care provider may use a catheter — a thin, flexible tube — to measure postvoid residual. The health care provider inserts the catheter through the urethra into the bladder, a procedure called catheterization, to drain and measure the amount of remaining urine. A postvoid residual of 100 mL or more indicates the bladder does not empty completely. A health care provider performs this test during an office visit. The patient often receives local anesthesia.
How Is Urinary Retention Treated
Treatment for urinary retention can depend on whether you have the acute form or the chronic form, as well as the cause of the condition. For the acute form, a catheter is put into the urethra to drain the bladder.
Treatment of the chronic form or the acute form that becomes chronicwill depend on the cause.
Medications for enlarged prostate: For men with an enlarged prostate, certain drugs may be used to try and open it up or shrink it. These include alpha-blockers and 5-alpha reductase inhibitors . Also, procedures or surgery to open up the prostate may be tried.
Procedures for enlarged prostate: Many procedures are available when this problem is due to an enlarged prostate. Office-based treatments can be done with just local anesthetic only. These include water vapor therapy and prostatic urethral lift .
There are also several surgeries done under general anesthesia which are available. These include shaving down the inside of the prostate and opening up the prostate with a laser . A laser can also be used to carve out the entire enlarged portion of the prostate through the urethra , or this part of the prostate can be removed through the belly . All of these procedures can be effective in opening up the blockage.
Treatment for nerve issues: If the retention is due to a nerve-related issue, you may need to use a catheter on yourself at home.
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Urethral Dilation And Stents
Chronic urinary retention is often the cause of urinary stricture, or the narrowing of the urethra commonly due to injury or infection, which prevents urine from flowing through.
To widen or dilate the urethral stricture, stents, or small tubes, are inserted into the urethra. As they are inserted into the urethra, stents widen, opening up the stricture and increasing urine flow. Depending on the severity of the stricture, stents can either be inserted temporarily or remain in the urethra permanently. This procedure is used to widen the urethral stricture to allow more urine to flow through.
When its determined that chronic urinary retention is caused by bladder stones or blood clots, a flexible, lighted tubular scope called a cystoscope will usually be inserted into the urethra to find and remove foreign objects from the urethra, bladder, and/or bladder outlet.
How Do You Know If Your Sphincter Is Damaged
To check your sphincter for possible damage, your surgeon may use one of the following tests: Anorectal manometry Inserts a tiny balloon filled with water into your rectum to test the pressure of anal sphincter muscles. Colonoscopy Takes pictures by using a thin, flexible tube with an attached camera.
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Surgical Treatment Is Necessary For Some Cases These Treatments Might Include:
- Prostate surgery. The most common surgery is transurethral resection of the prostate. In this procedure, the urologist uses a tiny tool, inserted through a catheter, to remove a section of the prostate. This treatment is used frequently for urinary retention caused by BPH.
- Internal urethrotomy. When there is a stricture that cannot be resolved by widening, a urologist can open the stricture with an incision. The procedure is performed via a special catheter inserted into the urethra.
- Cystocele or rectocele repair. Women whose bladder or rectum has fallen may need surgery to return the organs to their normal position. A urologist specializing in female reproductive surgery will repair any defects in the tissue of the vaginal wall. This repaired tissue then will be strong enough to hold the organs in their proper places, restoring normal urinary retention function.
- Removal of tumors or cancer. If the cause of the urinary retention is a tumor or cancerous tissue in the urethra, bladder or prostate, removing those tissues may reduce the problem.
Should I Be Worried About Urinary Retention
Urinary retention affects people of all ages and occurs in both sexes. However, it is most common in older men who have an enlarged prostate gland. It develops slowly over time. You may not notice it until you are unable to urinate. This causes swelling and discomfort in your bladder. It is a condition that is diagnosed in millions of adults due to various causes, but it doesnt have to control your life. If youre struggling from one or more of the symptoms of urinary retention, you may need to visit a urologist. Diagnosis is important in case of urinary retention as treatment starts with identifying an underlying medical cause.
When To See A Doctor
Seek emergency care immediately if youre unable to urinate or youre experiencing severe pain in your lower abdomen. These are symptoms of acute urinary retention, which is very serious and can be life-threatening if its not treated as soon as possible. If youre experiencing any other urinary retention symptoms, it is still important to talk with your healthcare professional, as chronic urinary retention can also cause serious health problems if left untreated.
To treat acute urinary retention, your urologist will drain the bladder by placing a catheter into your urethra. Removing the urine from your bladder will provide immediate relief and help prevent your bladder and kidneys from being damaged.
For chronic urinary retention, your urologist will assess your symptoms and suggest treatments depending on what is causing your urinary retention. Some treatments that a doctor might recommend include antibiotics for a urinary tract infection, physical therapy for pelvic floor dysfunction, or a surgical procedure to treat a blocked urethra or an enlarged prostate.
What Specialists Treat Urinary Retention
Urologists are most often involved in the care of patients with urinary retention. However, urogynecologists also treat women with urinary retention. Internists, family physicians, and emergency-room physicians also frequently treat urinary retention and will refer you to a urologist or urogynecologist if it is not improving.
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