Urinary Retention

Urinary retention, also called ischuria by some people, is a medical condition that affects mostly elderly men. It is the most common effect of BPH (benign prostatic hyperplasia) but it can also have various other causes, some of which are urinary tract infection, dysfunction of the nerves, constipation or even some medications administered to a person like amphetamines, antidepressants and anticholinergics. 

Urinary retentionAll of the symptoms originate from the fact that the bladder does not empty completely. According to many patients suffering from this disease, this is a very annoying feeling since there is the constant feeling that the person has to urinate. Besides that, the urinating frequency greatly increases since the bladder fills faster.

There are also cases where the retention is so severe that anuria is caused. This is a condition that does not allow the person to urinate at all. Needless to say that it is a medical emergency that needs to be examined in the nearest hospital as quickly as possible since the bladder can stretch up to a point, causing enormous pain. After that point, it might even tear, requiring immediate surgery.

The causes of urinary retention can be more than a few, located in different parts of the male urinary system. Following is a list of the most widespread among them:

– Bladder

1) Dysfunction of the detrusor sphincter

2) Nerve damage located in the pelvis or some adjacent area.

3) Scars on the bladders caused by a medical operation or some procedure.

– Prostate

1) Benign prostatic hyperplasia

2) Malignancies located in the prostate

3) Prostate cancer

4) Prostatitis

– Urethra

1) Phimosis

2) Lesions caused by a sexually transmitted disease

3) Obstruction

– Other causes

1) Psychological reasons like stress or fear

2) Some recreational drugs

Diagnosing a case of urinary retention is not complicated at all. All it requires is an ultrasonic exam and the reason behind it is shown immediately. Then, the examining doctor decides the type of the treatment that is more suitable.

The treatment of the disease also includes various different options. It can be treated simply by taking mediation combined with the usage of a catheter until the inflammation or obstruction goes away. Acute or chronic cases may require surgery, a fact that should not alarm anyone since it is very common and harmless.

A suggestion that works both as a treatment and as a precaution measure is the position a man takes to urinate. According to experts, men should sit to urinate, just like women. This allows the bladder to empty to the maximum degree even when there is one of the aforementioned issues.