Journal
BRITISH JOURNAL OF HOSPITAL MEDICINE
Volume 83, Issue 1, Pages -Publisher
MA HEALTHCARE LTD
DOI: 10.12968/hmed.2021.0278
Keywords
Acute urinary retention; Alpha blocker; Benign prostatic enlargement; Hydronephrosis; Urinary catheterisation
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Acute urinary retention is a common presentation in UK emergency departments, leading to significant hospital admissions. Timely bladder decompression by catheterisation is crucial for preventing complications. Variations in patient presentation determine long-term management and prognosis.
Acute urinary retention is a common clinical presentation in emergency departments in the UK and is responsible for over 30000 hospital admissions annually. Awareness of the latest advice and guidelines regarding its presentation, investigation and management is paramount to improve patient outcomes and reduce morbidity. Immediate management of acute urinary retention relies on timely bladder decompression by catheterisation. Knowledge of the routes and types of catheterisation, including the associated risks, complications and contraindications, is essential to allow rapid and early intervention, thus preventing further complications. Differences in the presentation of patients with acute urinary retention reflect varying aetiologies, the knowledge of which determines long-term management and prognosis.
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