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Urinary Retention

Urinary retention is a urological problem where abnormal holding of urine in the bladder occurs, either acutely or chronically. It can be caused by obstruction in the urinary system, neurological problems, medications, infections, or prostate issues. Signs include low abdominal discomfort, difficulty emptying the bladder fully, and frequent or painful urination. Diagnostic tests include urine and bladder scans to check for infection or obstruction. Initial nursing management is often urethral catheterization, with further treatment depending on the underlying cause.

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Aiza Apelada-Nieva
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1K views6 pages

Urinary Retention

Urinary retention is a urological problem where abnormal holding of urine in the bladder occurs, either acutely or chronically. It can be caused by obstruction in the urinary system, neurological problems, medications, infections, or prostate issues. Signs include low abdominal discomfort, difficulty emptying the bladder fully, and frequent or painful urination. Diagnostic tests include urine and bladder scans to check for infection or obstruction. Initial nursing management is often urethral catheterization, with further treatment depending on the underlying cause.

Uploaded by

Aiza Apelada-Nieva
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
  • Urinary Retention
  • Causes
  • Signs and Symptoms
  • Diagnostic Tests
  • Nursing Diagnoses
  • Planning and Implementation

Urinary Retention

Also known as bladder emptying problem A common urological problem with many possible causes. Abnormal holding of urine in the bladder Acute urinary retention sudden inability to urinate, causing pain and discomfort. Chronic urinary retention persistent presence of urine left in the bladder after incomplete emptying.

Causes
Obstruction in urinary system Stress Neurological problems Benign prostatic hyperplasia

prostatitis
Infection Medications (anticholinergic or alphaadrenergic)

Bladder stones
constipation

Signs and Symptoms


Dull low abdominal discomfort Distended bladder Difficulty fully emptying the bladder Weak dribble or stream of urine Loss of small amounts of urine during the day Inability to feel when bladder is full Lack of urge to urinate Strained efforts to push urine out of the bladder Frequent urination Nocturia (waking up more than two times at night to urinate)

Diagnostic Tests
Urine sample- to test for infection which might be a cause of urinary retention Bladder scan - uses a portable ultrasound device that can determine how much urine is in your bladder

X-ray and CT scan - show a spot where the urinary tract is narrowed or obstructed.

Nursing Diagnoses
Urinary Retention Acute pain related to acute urinary retention

Planning and Implementation


Urethral catheterization is an initial nursing management Surgery for women with cystocele or rectocele Instruct patient to increase fluid intake. Teach the patient with urinary retention and infrequent voiding to urinate by the clock.

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