Urinary retention is a condition in which the bladder is not able to empty completely even when it’s full. As a result, there is a frequent urge to urinate. There are two forms of urinary retention which are chronic and acute. This problem affects both men and women, but it occurs mostly in men as they get older.
Symptoms Of Urinary Retention
Chronic: chronic urinary retention happens over a long period of time. You might be able to urinate but your bladder won’t get empty completely. You may not know you are suffering from this condition because there are no symptoms at all. Chronic urinary retention can lead to some complications. Consult your doctors if you have these symptoms:
- If unable are to tell if your bladder is full
- You feel like need to urinate urgently after you finish urinating
- It gets difficult to start your urine stream
- You might have to get up plenty of times during the night to urinate
- Urine leaks from your bladder throughout the day
- You are having urge incontinence
Urinary Retention Causes in Women
There is less number of cases of urinary retention in women, but given below are a few causes:
Cancer which is there in your uterus it can cause an obstruction. In addition, a cystocele can create a blockage. Cystocele means when the bladder bulges into your vagina. A rectocele is when the rectum pushes out of the vagina. When the uterus moves down from the normal position, this is called prolapse. It can obstruct the bladder diet.
If there is an infection on the outer part of the vagina, it can cause urinary retention in women. Some bladder infections like cystitis can lead to urinary retention.
Diagnosis of Urinary Retention
The doctor can diagnose urinary retention by obtaining the history of your symptoms and by performing a physical exam which includes the genitals and rectum. If your doctor needs information. They can use one of the following procedures:
- CT scan and ultrasound
- Blood and urine samples
- Urodynamic tests
Treatment of Urinary Retention
Acute: Acute urinary retention is a medical emergency and the doctor will place a catheter in the bladder> It is done to let out of your urine. This is the safest procedure. If this method doesn’t work, the doctor will make a small tunnel which can be done in the skin over the bladder and via the bladder wall. The doctor can use local anesthesia, emptying the bladder can make you feel better and it will help to prevent any complications. The doctor will diagnose and treat the cause.
Chronic: Chronic urinary retention is done if you have developed symptoms which affect the quality of life or if you are having any urinary tract complications.
Catheterization: You will require catheterization which will help to release urine from the bladder unless urinary retention can be fixed. Doctors avoid using a urethral catheter because this can lead to a variety of complications. A doctor will tell you how to place the catheter to minimize the chances of getting bacteria into the bladder.
Stents and urethral dilation: This procedure is used to widen the urethral stricture which will allow more urine to flow through. Tubes will be inserted into the urethra. This will open the stricture. Another method to do this by inserting a tube with a balloon into the urethra and inflate the balloon in stricture.
There are plenty of medications which your doctor will prescribe to help with the urinary retention:
- Medications which help to make your prostate smaller to help the obstruction in men
- Taking help of antibiotics for the urinary tract infection, cystitis
- Medications which help to relax your urethral sphincter
Cystocele repair: Women may require surgery to lift the fallen bladder. The procedure involves a urologist who specializes in the female reproductive system while making an incision in the wall of the vagina. The doctor will look for a hole in the tissue which normally separates the vagina from pelvic organs. The urologist will place the stitches in the tissue to close the incision in the vaginal wall. Women will receive anesthesia. The stitches will tighten the layers of tissue which separate the organs, creating more support for pelvic organs.
Prevention of Urinary Retention
Women suffering from cystocele may prevent urinary retention by doing some pelvic floor exercises to strengthen the pelvic muscles. Moreover, lifestyle changes can help prevent urinary retention caused by constipation. People whose constipation continues should go to a health care provider.