Dr Ed Wallitt
Podmedics - Founder
Video Duration: 12 minutes
May be acute or chronic.
Very common in hospital setting - particularly post-op
Think it terms of obstructions, problems with the nerves and problems with the bladder muscle.
Obstructive (BPH, urethral stricture, stones), Neurological (pelvis surgery, MS) or Myogenic (e.g. over-distension of the bladder)
Lower abdominal pain and unable to pass urine
Urine dipstick and MC&S (infection)
FBC, U+E, PSA (before PR!)
Ultrasound - looking at bladder volume and for hypronephrosis
Analgesia, encourage patient privacy, movement and emptying of bowels
Tamsulosin may reduce risk of catheterisation after retention.
Catheter +/- antibiotic cover. TWOC after 2-3 days.