Definition

Failure to empty the bladder properly. Acute retention is sudden and often painful.

Symptoms

Inability to urinate and lower abdominal pain; chronic retention may cause small voids or overflow leakage.

How it may be discovered

Possible causes include prostate or urethral obstruction, neurological disease, medication or surgery.

When to seek care

Painful inability to urinate needs immediate care, not a routine appointment.

Investigations and tests

Examination, bladder-volume assessment, urine tests and renal function as appropriate.

Reaching a diagnosis

Assessment confirms retention and its cause; non-essential tests must not delay necessary drainage.

Treatment options

Appropriate drainage, treatment of the cause and a planned catheter-removal or bladder-emptying strategy.

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