Clinical manifestations and treatment of urinary retention in women

Urinary retention occurs when the bladder fills with urine and cannot be discharged normally. We also know from common sense that when there is urine in the bladder but it cannot be discharged, it will be really painful. So what is the cause of urinary retention in women? What are the clinical manifestations and treatments? Today, the editor brings you an introduction to the clinical manifestations and treatments of urinary retention in women. Interested friends can take a look.

1. Causes of urinary retention in women

The common cause is mechanical obstruction of the urethra or bladder outlet due to various organic lesions, such as urethral lesions including inflammation, foreign bodies, stones, tumors, injuries, stenosis and congenital urethral malformations; bladder neck obstructive lesions include bladder neck contracture, fibrosis, tumors, acute prostatitis or abscess, prostatic hyperplasia, prostate tumors, etc.

2. Clinical manifestations of urinary retention in women

Acute urinary retention occurs suddenly, with the bladder filling up with urine and unable to discharge. The patient suffers from unbearable bloating and pain, tossing and turning, and sometimes some urine overflows from the urethra, but this does not relieve the pain in the lower abdomen.

Chronic urinary retention is often manifested by difficulty urinating, frequent urination, a feeling of incomplete urination, and sometimes urinary incontinence. Although a small number of patients do not have obvious symptoms of chronic urinary retention and obstruction, they often have obvious upper urinary tract dilatation, hydronephrosis, and even symptoms of uremia, such as physical weakness, anemia, urine odor on breath, lack of appetite, nausea and vomiting, anemia, increased serum creatinine and urea nitrogen, etc.

3. Treatment of urinary retention in women

1. Acute urinary retention

The principle of treatment is to eliminate the cause and restore urination. If urination is still not possible after treatment such as hot compress or acupuncture in the suprapubic bladder area, catheterization can be performed. If the urinary retention cannot be recovered in a short time, a catheter should be left in place for continuous catheterization and removed as appropriate. When a urinary catheter cannot be inserted in patients with acute urinary retention, suprapubic cystostomy is performed. If a bladder puncture needle is not available, suprapubic cystostomy can be performed surgically. If the cause of the obstruction cannot be eliminated, urine can be permanently drained and the fistula tube can be replaced regularly.

When a catheter or cystocentesis is placed to drain urine for acute urinary retention, the urine should be released slowly and intermittently, 500 to 800 ml each time, to avoid emptying the bladder quickly, which will cause a sudden decrease in intra-bladder pressure and cause massive bleeding in the bladder.

2. Chronic urinary retention

If it is caused by mechanical obstruction, and the patient has upper urinary tract dilatation, hydronephrosis, and renal function impairment, bladder urine drainage should be performed first. After the hydronephrosis is relieved and renal function improves, the obstruction should be relieved according to the cause. If it is caused by dynamic obstruction, most patients need to have an indwelling urinary catheter and change it regularly. For those with severe upper urinary tract hydrops, urinary diversion procedures such as suprapubic cystostomy or nephrostomy can be performed.

After reading the editor's introduction to the clinical manifestations and treatment methods of female urinary retention, do you have a better understanding of female urinary retention? Urinary retention is a very painful and helpless disease, which will cause great suffering to patients in the long run. Therefore, when symptoms are found, it is necessary to seek medical attention as soon as possible.