Urinary retention occurs when you can't completely empty your bladder. It can cause damage to your bladder and kidneys. It can result from a blockage of the passage that lets urine out of your bladder (urethra), or a problem with how your bladder muscle works.
The most common cause of urinary retention is benign prostatic hyperplasia. Other common causes include prostatitis, cystitis, urethritis, and vulvovaginitis; receiving medications in the anticholinergic and alpha-adrenergic agonist classes; and cortical, spinal, or peripheral nerve lesions.
If you are not able to empty completely, your bladder and its muscles may become floppy over time. With larger amounts of urine being held in the bladder all the time urine will leak out when you don't want it to and you may have a constant feeling of fullness.
Incomplete emptying of a bladder can affect people across all age groups and be a cause for pain, irritation, and embarrassment to the person. The medical term for the condition is 'Urinary Retention'. If not treated in time, the condition can lead to complications including kidney failure that can be fatal.
Try to urinate at least once every 3 to 4 hours. Holding urine in your bladder for too long can weaken your bladder muscles and make a bladder infection more likely. Be in a relaxed position while urinating. Relaxing the muscles around the bladder will make it easier to empty the bladder.
Treatment for urinary retention depends on the type of urinary retention you have—either acute or chronic—and the cause of your urinary retention. Treatments for urinary retention may include draining the bladder, medicines, medical procedures or devices, surgery, and self-care treatments.
In general, the literature suggests it doesn't matter if a healthy man stands or sits when he pees. Regardless of the position, there seems to be no difference in the time taken to pee, the flow rate, and how completely the bladder is emptied.
A PVR volume of less than 50 mL is considered adequate bladder emptying; in the elderly, between 50 and 100 mL is considered normal. In general, a PVR volume greater than 200 mL is considered abnormal and could be due to incomplete bladder emptying or bladder outlet obstruction.
If a person has a constant urge to pee but nothing comes out when they go, they may have an infection or other health condition. If a person frequently needs to pee but little comes out when they try to go, it can be due to a urinary tract infection (UTI), pregnancy, an overactive bladder, or an enlarged prostate.
While this is commonly related to drinking a lot of water or taking medication, sometimes, it could mean something more serious like an infection or diabetes. It can also be related to weakening of the pelvic floor muscles around the bladder.
Urinary retention and incomplete bladder emptying can result from urethral obstruction (such as in men with benign prostatic hyperplasia), shy bladder syndrome, or detrusor areflexia (acontractility of the bladder due to an abnormality of nervous control).
Distract yourself by thinking of something other than going to the bathroom. Avoid moving and rushing to the toilet, as this can make the bladder contract harder and might cause leakage. six times, holding for two seconds each, to keep from leaking. Squeeze, and let go.
The most common cause of urinary hesitancy in older men is an enlarged prostate. Almost all older men have some trouble with dribbling, weak urine stream, and starting urination. Another common cause is infection of the prostate or urinary tract.
With urinary retention, your urine doesn't completely flow out, which allows the normally harmless bacteria a chance to multiply and infect your urinary tract. Serious problems can occur if the infection spreads to your kidneys.
Kidney damage — Sometime urinary retention can cause urine to flow back into the kidneys. This is called reflux and can damage or scar the kidneys. Urinary incontinence (after prostate, tumour, or cancer surgery) — Transurethral surgery to treat an enlarged prostate can result in urinary incontinence in some men.
In general, these relationships are due to patients with BPH who may have other numerous medical conditions that are also associated with erectile dysfunction like hypertension, lipid abnormalities, diabetes, heart disease, etc. An enlarged prostate does not impair the ability to ejaculate.
Urgency Incontinence
In men, it often results from benign prostatic hyperplasia, although it is sometimes associated with bladder inflammation, bladder stones, bladder cancer, diabetes, infection, or pelvic radiation.