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jueves, 2 de marzo de 2017

Acute Urinary Retention

emDocs - March 1, 2017 - Author: Johnson C - Edited by: Koyfman A and Long B
"Take Home Points
  • Consider all of the possible causes of acute urinary retention, and avoid prematurely anchoring on BPH, even in men with known BPH.
  • If the cause is determined to be BPH, start alpha reductase inhibitor immediately and attempt to arrange 3 day follow up to improve outcomes and reduce complications.
  • In addition to trauma, chronic diseases such as diabetes may cause neurogenic bladder. Patients with peripheral neuropathy are at high risk of developing neurogenic bladder.
  • Antidepressants, over-the-counter cold medicines, and NSAIDS are common pharmacologic causes of urinary retention.
  • Fever and urinary retention in a male should lead to a high suspicion for prostatitis. Treatment should be directed based on risk factors."