Can urinary retention in women be cured?

The occurrence of urinary retention requires early treatment. For women with urinary retention, whether the disease can be cured also requires more understanding. So, can urinary retention in women be cured?

Can urinary retention be cured?

Can't. Urinary retention is when the bladder fills up with urine and cannot be excreted normally. According to its medical history and characteristics, it is divided into two categories: urinary retention and chronic urinary retention. Urinary retention occurs suddenly, the bladder is suddenly filled with urine and cannot be discharged, and the patient is in great pain. Outpatient treatment is often required; chronic urinary retention has a slow onset and a long history of illness. A bladder filled with urine can be touched in the lower abdomen, but the patient cannot empty the bladder. Because the symptom persists for a long time and the pain is not serious after adaptation.

How to treat urinary retention?

1. Urinary retention

The treatment goal is to eliminate the cause of the disease and restore urination. If the cause of the disease is unclear or the obstruction cannot be eliminated for the time being, catheterization or supraphalangeal cystostomy should be performed first to drain the bladder urine to eliminate the pain, and then further examination should be performed to determine the cause of the disease. If urination is still not possible after treatment such as heat compress or acupuncture in the bladder area above the toe bones, catheterization can be performed. If the urinary retention cannot be cured in the short term, a urinary catheter should be left in place for continued catheterization and removed as appropriate. When a urinary catheter cannot be inserted in patients with urinary retention, supraphalangeal bladder puncture and fistula can be performed. If a bladder puncture device is not available, supraphalangeal bladder puncture and fistula can be performed surgically. If the cause of the infarction cannot be eliminated, permanent drainage can be used and the fistula tube can be replaced regularly.

When draining urine through an indwelling catheter or cystocentesis, the urine should be released intermittently and slowly, 500-800 ml each time, to avoid rapid emptying of the bladder, which may cause a sudden decrease in bladder gas pressure and cause excessive bleeding in the bladder.

2. Chronic urinary retention

If it is caused by reflex obstructive disease, with upper urethral dilatation, hydronephrosis and renal function damage, bladder urinary drainage should be given priority. After the hydronephrosis is alleviated and renal function is improved, the cause of the disease can be eliminated. If it is caused by power infarction, most patients need to have a urinary catheter and change it regularly; if the upper urethral water retention is serious, urinary line rerouting surgery such as supraphaeloid cystostomy or nephrostomy can be performed.

According to the condition, treat the original disease and eliminate the blockage. For example, patients with benign prostatic hyperplasia can undergo prostatectomy; those who cannot undergo prostatectomy can undergo supraphalangeal cystostomy. Patients with bladder neck infarction should undergo urethral bladder neck transurethral resection or bladder neck plasty. For patients with urethral stenosis, urethral dilation or cold knife incision under urethroscopic observation can be performed. Bladder stones should be removed. Bladder tumors should be relatively resolved. For neurogenic bladder and bladder detrusor muscle weakness, medication can be used first. If it fails, cystostomy is required.