Clinical Case Database / Category: Patient Management

Urinary retention in males

Publication details

Mr Jai H Seth MBBS, BSc, MSc, MRCS, Mr Sanjeev Madaan MS, PhD, FRCS (Urol), FEBU, Mr Faisal Iftikhar MBBS, FCPS (Pak), MRCS, FRCS (Urol), Ahmed Ghumman
Foundation Years Journal, volume 8, issue 10, p.46 (123Doc Education, London, November 2014)

Abstract

There are several causes of urinary retention. This article focuses on urinary retention in the elderly male patient with benign prostatic hyperplasia (BPH), which represents an important public health and quality of life issue. The incidence of this increases significantly with advancing age, and can have health consequences such as renal impairment and urinary tract infection. Foundation year doctors will come across many patients with urinary retention both in hospital and the community. This article should provide some background into the aetiology, and an initial approach to the management of the patient in urinary retention.

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Authors

Mr Jai H Seth MBBS, BSc, MSc, MRCS

Urology Department, Darent Valley Hospital
Darenth Wood Road, Dartford, Kent, DA2 8DA
seth.jai@gmail.com

Mr Sanjeev Madaan MS, PhD, FRCS (Urol), FEBU (Corresponding author)

Urology Department, Darent Valley Hospital
Darenth Wood Road, Dartford, Kent, DA2 8DA
sanjeev.madaan@dvh.nhs.uk

Mr Faisal Iftikhar MBBS, FCPS (Pak), MRCS, FRCS (Urol)

Urology Department, Medway Maritime Hospital
Windmill Road, Gillingham, Kent, ME7 5NY
safari1616@hotmail.com

Ahmed Ghumman

Urology Department, Medway Maritime Hospital
Windmill Road, Gillingham, Kent, ME7 5NY

References

(1) Reynard J BS, Biers S. Oxford Handbook of Urology. Second Edition edn.Chapt Bladder outlet obstruction, 2009
(2) Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003 Jan: 61:37-49
(3) Fitzpatrick JM, Kirby RS. Management of acute urinary retention. BJU Int. 2006 Apr: 97 Suppl 2:16-20; discussion 1-2
(4) Manikandan R, Srirangam SJ, O'Reilly PH, Collins GN. Management of acute urinary retention secondary to benign prostatic hyperplasia in the UK: a national survey. BJU Int. 2004 Jan: 93:84-8
(5) McNeill SA, Hargreave TB. Alfuzosin once daily facilitates return to voiding in patients in acute urinary retention. J Urol. 2004 Jun: 171:2316-20
(6) Kalejaiye O, Speakman M. Management of Acute and Chronic Retention in Men. European Urology Supplements. 2009: 8:523-9

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About the Clinical Cases Database

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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