Diagnosis and Treatment for Urinary Retention Issues, or Ischuria
Dr. Y. Mark Hong offers advanced urinary retention treatments at our Phoenix, AZ, office locations. Urinary retention is a complication of BPH (benign prostatic hyperplasia) in men. Urinary retention can also affect women. It can be either an acute or chronic disorder that causes an inability to empty the bladder. The acute form of this condition happens suddenly and lasts a short amount of time. Patients with acute urinary retention cannot urinate at all. It is potentially life-threatening in some cases requires immediate emergency treatment to drain the bladder. The chronic form is long-lasting. Patients with chronic urinary retention issues can urinate, but cannot completely empty their bladder. They also may not know they have the condition until other problems arise, such as urinary incontinence. It is important to undergo an exam with Dr. Hong as soon as possible if you are experiencing any of these symptoms.
Causes of Urinary Retention
Urinary retention problems usually affect men in their 50s, 60s and beyond due to prostate enlargement, though anyone can develop the condition. Women who have experienced bladder sagging, also known as cystocele, may develop urinary retention problems.
Causes of ischuria include:
- Obstruction of the urethra, such as enlarged prostate, bladder stones or urethral scar
- Nerve problems that interfere with the connection between the brain and bladder
- Infections that cause irritation or swelling
- Enlarged prostate
- Side effects of some medications
- Weakened bladder muscles
An enlarged prostate can cause bladder retention.
Symptoms of Urinary Retention
If you are experiencing symptoms of urinary retention, you should have Dr. Hong address them as soon as possible to determine if they indicate an acute or chronic condition. Symptoms of acute urinary retention include:
- Inability to urinate
- Painful or urgent need to urinate
- Pain or discomfort in the lower abdomen
- Bloating in the lower abdomen
Urinary retention problems usually affect men in their 50s, 60s and beyond due to prostate enlargement, though anyone can develop the condition.
Chronic symptoms include:
- Going to urinate eight or more times in a day
- Having trouble starting a urine stream
- Weak or inconsistent urine stream
- Urgent need to urinate, with little or no success
- Feeling the need to urinate again, after just finishing
These symptoms should be addressed immediately. Complications from urinary retention can result in UTIs (urinary tract infections), bladder damage, or chronic kidney disease. Some methods of diagnosis are physical exams of the lower abdomen and urinary tract, uroflow and post-void residual measurement, cystoscopy and prostate ultrasound. Other possible medical tests include urodynamics and CT (computerized tomography) scan.
Treatment of Urinary Retention
Dr. Hong provides many treatment options to relieve complications and symptoms associated with urinary retention problems. Bladder drainage is the primary option for relief, and is considered to be emergency treatment for those suffering from the acute form of the disorder. Patients with chronic urinary retention may have to undergo intermittent or long-term catheterization to empty the bladder. Some forms of treatment include:
- Prostate-relaxing and shrinking medications
- Urolift surgery
- Greenlight laser photo vaporization of the prostate
- Transurethral resection of prostate (TURP), with saline or plasma button
- Removal of prostate
Contact Us Today
Dr. Hong's effective and discreet approach to treatment has provided many patients with the relief they deserve. If you have been experiencing symptoms of ischuria, contact one of our Phoenix, AZ, offices now to schedule an examination with Dr. Hong. He will talk with you about your symptoms, explain his findings, and discuss treatment options, if needed.