Overview

What is it?

This is where a man finds it difficult to pass urine. There are two different types of urinary retention – acute, where the ability to pass urine stops completely and this becomes a medical emergency, and chronic, which is where it happens more gradually and the volume slowly reduces.

Causes

There are a number of potential causes of urinary retention:

  • Benign Prostatic Hyperplasia
  • A blockage, where the prostate gland becomes enlarged and puts pressure on the urethra
  • Infection and swelling – if a prostate infection causes it to swell, then again pressure can be placed upon the urethra
  • Urinary strictures
  • Nerve causes – such as stroke or diabetes
  • Past catheterisation
  • Drugs such as antihistamines or antidepressants, as these can affect the bladder muscle

Treatment

Where a patient has acute retention, catheterisation will be required immediately.

For patients with chronic retention, they may still need a catheter but this may not be a long-term solution, unless the retention is persistent. There can be side effects of long-term catheterisation as well.

If men have moderate or sever symptoms, they may be recommended an alpha-adrenoceptor blocker, which relaxes the muscle.

Benign Prostatic Hyperplasia

For patients with BPH, there are a few options that will depend on their symptoms:

  • Monitoring – if symptoms are not problematic or there are no complications of BPH, this may be the best course of action
  • Alpha-adrenoceptor blocker – this should increase the urinary flow rate
  • 5α-reductase inhibitor – suitable for men with an enlarged prostate, a raised PSA or a risk of progression. It can be used in combination with an alpha-adrenoceptor blocker
  • Surgery – appropriate for patients with more severe symptoms, those who do not respond to drugs or if there are complications

Meet our specialists

Mr Rajiv Pillai a urologist in East Anglia
Mr Rajiv Pillai

MSc MS FRCS (Urol) FEBU

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Mr Sam Datta a urologist in East Anglia
Mr Sam Datta

BSc MSc MD FRCS (Urol) PGCME

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Mr Zafar Maan a urologist in East Anglia
Mr Zafar Maan

BSc (Hons) MSc (Urol) MA (Clin Ed) FRCS (Urol)

Read more

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07580 307020

pas@aua.ltd

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