Clinical Case Database / Category: Case Based Discussion

Acute urinary retention

Publication details

Azhar Khan MBBS MRCS, Marcus Darke FRCS
Foundation Years Journal, volume 1, issue 4, p.175 (123Doc Education, London, July 2007)

Abstract

A 65-year-old man presents to the emergency department with a sudden inability to pass urine associated with suprapubic pain and discomfort. He also gives a 6 month history of poor stream, hesitancy and frequency. He was previously fit and well and on no regular medication. On examination, patient is in obvious discomfort with a pulse rate of 100 and a blood pressure of 130/80. Examination also reveals tender suprapubic area with a possible mass. The patient’s bedside ultrasound shows residual urine of more than 500 ml in the urinary bladder.

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Authors

Azhar Khan MBBS MRCS

BioMed Centre
Bristol Urological Institute
Southmead Hospital
Bristol

Marcus Darke FRCS

Bristol Urological Institute
Southmead Hospital
Bristol

References

2.  Esclarin De, Ruz A, Garcia LE, Herruzo CR. Epidemiology and risk factors for urinary tract infection in patients with spinal cord injury. J Urol 2000: 164: 1285-1289

3.  Horgan AF, Prasad B, Waldron DJ, O’Sullivan DC (1995). Acute urinary retention. Comparison of suprapubic and urethral catheterisation. BJU; 70(2):1449-511

4.  Webb VJ, Booth CM (1995). Cutting the cost of catheterization for acute retention- a hospital or domiciliary procedure? BJU; 76(4): 443-445

5.  Paradisi F, Corti G, Mangani V (1998). Urosepsis in the critical care unit. Crit Care Clin; 14:165-180

6.  Walker S, McGeer A, Simor AE et al: Why are antibiotics prescribed for asymptomatic bacteriuria in institutionalized elderly people? A qualitative study of physicians’ and nurses’ perceptions. CMAJ 2000; 163:273-277

7.  McNeill SA, Hargreave TB (2000). Effiacy of PSA in the detection of carcinoma of the prostate in patients presenting with acute urinary retention. J R Coll Surg Edinb; 45(4): 227-230.

8.  Emberton M, Anson K (1999). Acute urinary retention in men: an age old problem. BMJ; 318(7188): 921-925

9.  Djavan B, Madersbacher S, Klingler C, Marberger M (1997). Urodynamic assessment of patients with acute urinary retention: is treatment failure after prostatectomy predictable? J Urol; 158(5):1829-1833

1.  Herman JR (1973). Urology: A View through the Retrospectroscope. Harper & Row Publishers, Hagerstown, MD: 35-40

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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