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Urinary Retention (Ischuria)
Definition of Urinary Retention
Urinary retention is lack of ability to empty the urinary bladder.
Differential Diagnosis of Urinary Retention
| DD urinary retention | |
| Diseases of the prostate | Benign prostatic hyperplasia, prostate cancer, bladder cancer, bladder stones, bladder neck sclerosis, detrusor sphincter dyssynergia (DSD). |
| Diseases of the urethra | Urethral strictures, urethral valves, female urethral cancer and male urethral cancer, foreign bodies, phimosis. |
| Diseases of the urinary bladder | Neurogenic lower urinary tract dysfunction, drugs (anticholinergic drugs, neuroleptics), pelvic surgery, diabetes mellitus. |
Diagnostic Workup in Urinary Retention
- Sonography of the bladder before inserting the transurethral catheter
- Laboratory tests: creatinine, PSA.
- Trial of micturition after removing the transurethral catheter: determination of residual urine and urine flow.
- Abdominal imaging: intravenous urography, alternatively KUB X-ray and renal sonography.
- Retrograde urethrography or cystoscopy
- Optional: urodynamic testing
| Bladder diseases | Index | Prostate diseases |
Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
References
Deutsche Version: Harnverhalt
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