Acute urinary retention( ICD-10 code - R33) - represents an emergency condition characterized by the inability to remove urine from a crowded bladder, which is a sign of a variety of disease states.
Acute urinary retention develops suddenly. Much more often from similar frustration of an emiction men suffer, owing to features of anatomic structure of a urinary channel.
Remember that acute urinary retention requires immediate medical attention, since the disease is associated with a high risk of bladder rupture, kidney damage and other, no less dangerous complications. No talk of home treatment is out of the question!
Here we will examine the causes of pathology and what should be done, how to treat in order to avoid complications in ishuria.
CONTENTS
Ishuriya: what is it?
Uncontrollable cessation of urination is a real problem. Urine retention in women and men( ishuria) is a pathological condition caused by various causes and having various manifestations. Why is there a difficult flow of urine, how to diagnose and cure pathology?
Ishuria is a condition of urine retention, during which it is impossible to empty the bladder, despite the fact that it is full. Such a state, due to which urine leaves badly, occurs not only in adults, but also in children. There are several types of ishuria, each of which has its own characteristic symptoms. In addition, in men and women, the causes and symptoms of pathology are not similar to each other, respectively, and the treatment of this condition will be different.
Urine retention: Species, forms
Depending on the symptoms, there is a classification of the types and forms of obstructed urine.
Urine retention types:
- Complete retention of urine outflow is a condition that does not cause urine to go away, even with obvious urge to urinate. With this form of discomfort, you have to use a tube to remove urine from the bladder.
- Incomplete urinary compartment delay .Can accompany the patient for a long time, but attention is not attached to it. With incomplete emptying, urine poorly leaves. It is allocated in a small volume or intermittent jets - during the process you have to strain the muscles of the organ.
- Paradoxical delay. With this kind of ailment, the bladder is excessively filled, but it can not be emptied. Urina involuntarily comes out of the urethra.
Forms of the disorder:
- Acute urinary retention. Has a turbulent beginning: the lower abdomen hurts and there are multiple wishes to urinate. The fast start is replaced by the same quick ending. Men suffer an acute form of the disease much harder than women.
- Chronic urinary retention. The process in the remission phase is mostly quiet, without the appearance of special symptoms. A person often does not even know about the existence of the disease, and only when the illness is aggravated due to certain factors, can the chronic course be identified through the diagnosis.
Urinary retention: causes in women, men and children
Common causes of urinary retention are as follows:
- An obstacle preventing the normal separation of urine from the bladder. Obstacles can be various diseases of the genitourinary system( inflamed prostate, urolithiasis, malignant formations in the rectum, causing obstruction).
- The valves of the posterior urethra - the folds of the urethral mucosa can delay the outflow of urine.
- Nervous diseases - stroke, epilepsy, concussions, Parkinson's disease, etc.
- Conscious delay occurs when there is a strong nervous breakdown, in a state of fright and in the postoperative period.
- The reason for acute urinary retention may be uncontrolled use of certain drugs.
The most common causes of obstructed urinary outflow from in men of may be as follows:
- Prostate adenoma.
- Impaired urinary tract( delay or complete absence of urination) with prostatitis in the acute stage. Symptoms of exacerbation of the prostate are also accompanied by a sharp pain in the kidneys and in the urethra, elevated body temperature and signs of intoxication.
Acute urinary retention in of female of half the population is caused by such factors:
- Omission of internal genitalia( uterus, vagina).
- Complicated birth and as a result - urine poorly departs.
- Age changes. Often there is an acute retention of urination in women in old age. This breaks the patency of the urethra.
- Stop urination after surgery on the genito-urinary organs.
- Mental disorders and nervous diseases.
- The reason for urine retention is a malignant tumor of one of the internal genitalia.
- Retention of urine during pregnancy( in most cases, ectopic) and after childbirth.
This delay in urination, like ishuria, also occurs in childhood. So, the causes of the pathology in children :
- In of boys , the cause of the pathology may be the malaise associated with the reduction and decrease of the external part of the genital organs( phimosis).With such a disease, the lumen for separation of urine is very small or completely closed. The inability to urinate is a condition requiring urgent surgical intervention.
- girls are very prone to urinary tract disorders. The cause of the disorders are crotch injuries and pathology of structural features of the ureter.
Urinary retention: symptoms
The main symptom of the ailment is the inability to completely empty the bladder. The chronic form is asymptomatic. The accompanying signs of urine retention look like this:
- abdominal pain( mainly with constipation);
- bloating, which is accompanied by increased gassing in the intestine;
- frequency of urge and pain when urinating;
- experienced discomfort at the beginning of urination and abdominal pain;
- leakage or, conversely, complete absence of urine in the bladder( a condition called anuria).
How to diagnose the disease
Diagnostic tests can identify the disease in the early stages and choose the appropriate course of treatment. An acute type of disease can be diagnosed in such ways:
- With a medical examination of the patient( percussion and palpation of the suprapubic region).
- Differential diagnosis of pain in acute urinary retention.
- Ultrasound examination of pelvic organs.
- Mictional cystourethrography is a radiopaque study of the bladder and urethra.
- Intravenous pyelography is a study that allows you to see the kidneys, bladder and other organs of the urinary tract. Used to diagnose stones in the bladder and kidneys, malignant tumors, and obstruction of the urinary tract.
- Computed tomography. Very effective and expensive method of diagnosis, replacing ultrasound and X-rays.
Urine retention: treatment and what to do
Urine retention in men and women is treated with various conservative methods: with the help of medications and folk remedies at home. In conditions of ineffectiveness of conservative methods of treatment, operative intervention is suggested - an operation on the organs of the genitourinary sphere.
Medication management
An emergency care algorithm for women is made after determining the exact cause that provoked such a condition.
At the very beginning of urinary retention therapy, bladder catheterization is performed( urine output is performed by means of a special catheter tube).
When urolithiasis is prescribed drugs, with the reception of which is the dissolution and excretion of stones from the body.
In the postpartum period, treatment with medications presupposes the use of antidepressants, antispasmodics, diuretics.
When the internal genitalia is lowered, only a surgical procedure called colpopexy is indicated.
Medical treatment should be carried out only after consultation with a physician.
A man will need emergency help in case of acute urinary retention. In a state where there is no urine at all, a special tube is inserted into the urethra, due to which a gradual separation occurs. Only after the bladder is empty and the diagnosis is carried out, the doctor confirms the diagnosis, and prescribes a certain treatment. Alfa-adrenoblockers( the drug "Artesin", "Doxazosin", "Myctosin"), are used as the main corrective urodynamics of the drug.
If there is no positive result in the treatment, a surgical operation is performed, aimed at eliminating the disease and bringing all the functions of the urinary tract back to normal.
Effective folk remedies at home
Folk methods of treatment are used in conjunction with basic therapy. Here are the most common recipes used to correct urination and alleviate its painful symptoms:
- Take 1 tablespoon of dill seeds and birch buds .Mix both ingredients and pour 1 liter of boiling water. Infuse for 1 hour, then strain the resulting liquid. Take the broth 4 times a day. Drink a full glass before or after eating. This remedy is first aid, used for the delay of urination. It is useful for relieving inflammation of a diseased bladder and alleviating painful sensations.
- An excellent preparation is the infusion prepared from berries of ashberry .Take 2 tablespoons of berries, pour 0.5 liters of boiling water. Infuse 2 hours and take 2 tablespoons three times a day before meals.
- Bearberry grass copes well with signs of obstructed urination, does not allow the development of pain and relaxes the organs of the urinary tract. Make a decoction of bearberry is simple enough: take 1 tablespoon of herbs, pour a glass of boiling water and take 2 tablespoons 3 times daily before meals. Those who treated the genitourinary organs with bearberry, long ago forgot about the existence of inflammations and, moreover, of urological diseases.
Complications of urinary retention
Complete or incomplete separation of urine without selecting the proper treatment provokes even greater problems with urination. Complications of acute urinary retention:
- The appearance of blood clots in the urine.
- Exacerbation of inflammation of the bladder.
- Inflammatory process of the right or left kidney.
- Sudden failure in the kidneys - acute renal failure( ARF).Can in a short period of time make a healthy person lying patient.
What to do for prevention?
Preventive measures are aimed at preventing the disease of ishuria and include the implementation of such rules:
- Restriction of alcohol use.
- Avoidance of subcooling.
- Men after 40 years should visit a urologist who treats urological diseases at least once a year. Women need to visit the gynecologist more often - 2 times a year.
- Timely treatment of inflammatory processes in the body and diseases of the genitourinary system( do not give rise to chronic diseases).
- Avoid injury to the urogenital organs.
Before using any medication, you should first consult with your doctor, in order not to provoke the appearance of such a side effect, as a delay in urination.
Prevention is necessary for every person, regardless of whether he is healthy or ill. Any pathology of the process of urination, involving men, women or children, requires immediate treatment in a medical institution.
Timely diagnosis and the appointment of a specific course of treatment will prevent negative health consequences.
How to make a self-catheterization of the bladder to a man
On the video channel of Nina Shelyakina you can find out how to properly and independently at home, a man conduct a self-catheterization of the urinary bladder in case of urinary retention in men.
Source: http: //etopochki.ru/mocheispuskaniye/problemy/ zaderzhka-mochi.html
