AMEI's Current Trends in Diagnosis & Treatment

Register      Login

VOLUME 1 , ISSUE 2 ( July-December, 2017 ) > List of Articles

ORIGINAL RESEARCH

An Insight into the Etiopathogenesis of Urinary Retention in Patients managed at a Tertiary Care Hospital in Amritsar, Punjab, India

Bansal Darpan, Gurpreet S Bhangu, Ashish P Singh, Noopur Bansal, Ritansh Bansal

Keywords : Acute retention, Chronic retention, Urinary retention

Citation Information : Darpan B, Bhangu GS, Singh AP, Bansal N, Bansal R. An Insight into the Etiopathogenesis of Urinary Retention in Patients managed at a Tertiary Care Hospital in Amritsar, Punjab, India. Curr Trends Diagn Treat 2017; 1 (2):64-67.

DOI: 10.5005/jp-journals-10055-0015

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Urinary retention is defined as the inability to urinate voluntarily. Acute urinary retention (AUR) is the sudden and painful inability to void, despite having a full bladder. Chronic urinary retention (CUR) is painless retention associated with an increased volume of residual urine. Despite the worldwide interest in the subject, there exist only a limited amount of data with respect to the causes of AUR and CUR. The main aim of study was to study the main aspects of causes and frequency of different causes of urinary retention with their age and incidence in this part of India. Materials and methods: In this study, 100 patients presenting to the outpatient department (OPD) and emergency of a tertiary care hospital in Amritsar with urinary retention were evaluated and categorized into two groups: AUR and CUR. Further, these patients were subdivided into etiological classification according to the study. Results: In men, benign prostatic enlargement is the leading cause of urinary retention, with second being stricture urethra. In women, urinary retention was mainly caused by meatal stenosis and blood clots due to urinary bladder growth. We also found some correlation of urinary retention with health negligence and less personal hygiene, which was more common in below-poverty-line patients.


PDF Share
  1. Rosenstein D, McAninch JW. Urologic emergencies. Med Clin North Am 2004 Mar;88(2):495-518.
  2. Hastie KJ, Dickinson AJ, Ahmad R, Moisey CU. Acute retention of urine: is trial without catheter justified? J R Coll Surg Edinb 1990 Aug;35(4):225-227.
  3. Selius BA, Subedi R. Urinary retention in adults: diagnosis and initial management. Am Fam Physician 2008 Mar;77(5):643-650.
  4. Weiss RM. Physiology and pharmacology of the renal pelvis and ureter. In: Kavoussi LR, Partin AM, Novick AC, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia (PA): Saunders; 2011. pp. 1769-1770.
  5. Kavia RB, Datta SN, Dasgupta R, Elneil S, Fowler CJ. Urinary retention in women: its causes and management. BJU Int 2006 Feb;97(2):281-287.
  6. Cathcart P, van der Meulen J, Armitage J, Emberton M. Incidence of primary and recurrent acute urinary retention between 1998 and 2003 in England. J Urol 2006 Jul;176(1): 200-204.
  7. Elhilali M, Vallancien G, Emberton M, Harving N, van Moorselaar J, Matzkin H, Alcaraz A. Management of acute urinary retention in patients with BPH: a worldwide comparison. J Urol 2004;171(Suppl):407.
  8. Murray K, Massey A, Feneley RC. Acute urinary retention – a urodynamic assessment. Br J Urol 1984 Oct;56(5):468-473.
  9. Moul JW, Davis R, Vaccaro JA, Sihelnik SA, Belville WD, McLeod DG. Acute urinary retention associated with prostatic carcinoma. J Urol 1989 Jun;141(6):1375-1377.
  10. Choong S, Emberton M. Acute urinary retention. BJU Int 2000 Jan;85(2):186-201.
  11. AUA Practice Guideline Committee. AUA guideline on the management of benign prostatic hyperplasia (2003). Chapter 1: diagnosis and treatment recommendations. J Urol 2003 Aug;170(2 Pt 1):530-547.
  12. Klarskov P, Andersen JT, Asmussen CF, Brenøe J, Jensen SK, Jensen IL, Lund P, Schultz A, Vedel T. Acute urinary retention in women: a prospective study of 18 consecutive cases. Scand J Urol Nephrol 1987;21(1):29-31.
  13. Abrams PH, Dunn M, George N. Urodynamic findings in chronic retention of urine and their relevance to results of surgery. Br Med J 1978 Nov;2(6147):1258-1260.
  14. Sakakibara R, Hattori T, Yasuda K, Yamanishi T. Micturitional disturbance in acute disseminated encephalomyelitis (ADEM). J Auton Nerv Syst 1996 Sep;60(3):200-205.
  15. Gallien P, Reymann JM, Amarenco G, Nicolas B, de Seze M, Bellissant E. Placebo controlled, randomised, double blind study of the effects of botulinum A toxin on detrusor sphincter dyssynergia in multiple sclerosis patients. J Neurol Neurosurg Psychiatry 2005 Dec;76(12):1670-1676.
  16. Holtgrewe HL, Mebust WK, Dowd JB, Cockett AT, Peters PC, Proctor C. Transurethral prostatectomies: practical aspects of the dominant operation in American urology. J Urol 1989 Feb;141(2):248-253.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.