Urinary Retention
Basics
Description
Description
- Acute urinary retention (AUR):
- Sudden inability to void spontaneously
- Occurs most frequently in men >60 yr old
- Most common cause of AUR in the ED is benign prostatic hyperplasia (BPH)
Etiology
Etiology
- Multiple diagnostic considerations, following list is not exhaustive
- Anatomic:
- Penis:
- Phimosis
- Paraphimosis
- Meatal stenosis
- Foreign-body constriction
- Urethra:
- Tumor
- Pelvic masses
- Prolapse of pelvic organs
- Foreign body
- Calculus
- Urethritis
- Stricture
- Meatal stenosis (can also be seen in females)
- Hematoma
- Vulvar edema after vaginal delivery
- Prostate gland:
- Benign prostatic hypertrophy
- Carcinoma
- Prostatitis
- Contracture of bladder neck
- Prostatic infarction
- Penis:
- Neurologic causes:
- Motor/paralytic:
- Spinal shock
- Spinal cord syndromes
- Sensory/paralytic:
- Diabetes
- Multiple sclerosis
- Spinal cord syndromes
- Motor/paralytic:
- Drugs:
- Antihistamines
- Anticholinergics
- Antispasmodics
- Tricyclic antidepressants
- α-adrenergic stimulators
- Narcotics
- NSAIDs
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Citation
Schaider, Jeffrey J., et al., editors. "Urinary Retention." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307081/all/Urinary_Retention.
Urinary Retention. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307081/all/Urinary_Retention. Accessed December 5, 2024.
Urinary Retention. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307081/all/Urinary_Retention
Urinary Retention [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 December 05]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307081/all/Urinary_Retention.
* Article titles in AMA citation format should be in sentence-case
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BT - 5-Minute Emergency Consult
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PB - Lippincott Williams & Wilkins
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