Urinary Retention. How do we investigate it. How do we fix it.

The retention of the urine in the bladder with the inability to urinate is called complete retention of urine. The sensation to urinate is there, the bladder is full , so it is not a “kidney failure” but a bladder one. The causes may be the urethra (urethral stricture), enlarged prostate or the decreased contractility of the bladder. Causes may also be combined,  eg. a prostate adenoma which narrows the urethra along with a bladder more “lazy”. The question in this case is whether to treat the prostate, the bladder or both, otherwise treating only the prostate, the bladder will remain still lazy and still will not be able to empty the urine from the inside?

Urodynamics test that measures the pressure of the lower urinary tract can bring data from “inside” to clarify this dilemma. It can be an important source of data to decide whether prostate surgery is useful to resume urination or not. For more details, see the website http://www.consult-urodinamica.ro/

Treatments to resume evacuation of urine may be drugs, intermittent catheterization or surgery. For more details, see the website www.retentie-urinara.ro/