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  • URINARY RETENTION

    What is Urinary retention?

    Urinary retention is a condition in which the bladder doesn’t empty completely, and some urine is retained in the bladder. This poses as a potential infection breeding zone.

    1. Chronic Urinary RetentionIt is a long lasting medical condition. People are often not aware of this condition, and this can lead to further problems like urinary incontinence i.e. complete loss of bladder control.

    2. Acute Urinary RetentionIt occurs abruptly and lasts for a short period of time. However, a person suffering from acute urinary retention is not able to urinate at all despite having a full bladder. It is a life threatening condition which requires immediate treatment.

    Causes

    • Nerve damage
    • Stroke
    • Obstruction in urethra
    • Medications for depression
    • Weak bladder muscles, which fail to contract sufficiently to let the urine pass out of the bladder
    • Benign prostatic hyperplasia
    • Cystocele
    • Rectocele
    • Constipation

    When to approach the doctor?

    It is advisable to see the doctor after these symptoms are shown by the patient:

    • Inability to urinate
    • Painful urination
    • Urgent need to urinate
    • Frequent urination
    • Bladder pain
    • Pain/discomfort in lower abdomen
    • Complete inability to urinate.

    Diagnosis tests

    • a physical exam
    • Postvoid residual measurement- The patient is asked to empty the bladder as much as possible, and the urine retained after this is measured.
    • Cystoscopy
    • Computerized Tomography (CT) scans- To check for any structural deformities in the bladder and/or urethra
    • Urodynamic tests
    • Electromyography

    Treatment

    • Catheterization- a thin long flexible tube is inserted through the urethra to empty the bladder
    • Bladder drainage
    • Urethral dilation- in case of obstruction
    • Urethral stents- to prevent the muscles from collapsing
    • Prostate medications
    • Surgery

    Behavioural Treatment

    • change in diet
    • fluid modification
    • Kegel exercises
    • Bladder training

    Be aware and get the right treatment on time !

    Post surgery

    • After surgery, the patient will be asked to urinate to test the response of the bladder and urethra to the surgery.
    • An overnight stay is rarely needed in case of laparoscopic surgery
    • There might be mild pain in the abdomen after the surgery, which is normal
    • The doctor should be reported to periodically after the surgery, to check for proper functioning of the bladder.

    Our Doctor

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    Our Doctor

    Dr. Niraj Mahajan

    MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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