Epistemis

Acute urine retention

Specialty: Nephrology and urology.

  • I can't urinate
  • bladder balloon

Why it occurs

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  • Anticholinergic drugs
  • Fecal impaction
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Initial workup

Palpate/ultrasound bladder balloon; probing; kidney function; rectal examination (prostate).

red flags

Retention with saddle anesthesia or neurological deficit → suspect spinal cord compression.

Standard management

  • Bladder catheterization — immediate decompression
  • Alphablocker — facilitates the removal of probe in prostatism

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousQuiluria
Area
Nephrology and urology
Listed causes
4
Treatment options
2
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