Urologic Surgery NWI

  • 1101 Glendale Blvd., Unit 107 A, Valparaiso, Indiana, 46383
  • (219) 286-6888
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  • 1101 Glendale Blvd., Unit 107 A, Valparaiso, Indiana, 46383
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Urinary Retention

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(219) 286-6888

Urinary Retention

Urinary retention is a condition of incomplete bladder emptying or inability to urinate at all. Acute urinary retention, unlike its chronic counterpart, can be very painful. Causes of urinary retention are many and may include enlarged prostate gland, prostate infection and inflammation, bladder stone(s), urethral stricture, pelvic organ prolapse, constipation, medication side effects, anesthesia, various neurological disorders, loss of bladder contractile ability and diabetes.

Symptoms

Symptoms of urinary retention may include:

  • Pelvic/bladder pain
  • Nausea/vomiting
  • Feeling of a full bladder
  • Unsuccessful attempt(s) at urination
  • Urinary frequency/urgency
  • Urinary incontinence
  • Urinary dribbling
  • Back pain
  • Fever/chills if UTI also present
Diagnosis

Diagnosis of urinary retention is quite straightforward. Determining the precise cause of urinary retention, however, may sometimes be difficult. Diagnosis usually begins with a clinical history, physical examination and bladder Ultrasound (sometimes referred to as a “bladder scan”). Bladder Ultrasound will show the amount of urine in the bladder. Additional diagnostic tests may be necessary to determine what led to the urinary retention episode. Some of these tests are outlined below:

  • Urinalysis and urine culture: checking for infection, blood in the urine.
  • Kidney Ultrasound: may show dilated kidney(s) indicating urine may be backing up from the bladder into the kidney(s).
  • Urodynamic study: invasive in-office test that may provide additional information about bladder function and possible bladder obstruction.
  • Cystoscopy: a small camera is introduced into the urethra and advanced into the bladder providing direct visualization of the lower urinary tract anatomy.
Treatment

Treatment often depends on acuteness, severity and etiology or cause of the urinary retention.

Some treatment options may include:

  • Catheterization: urinary catheters are small rubber or plastic tubes that may sometimes be recommended to drain the bladder. Various types of catheters exist. Some are introduced via the urethra, others may be inserted via the lower abdomen directly into the bladder. Some catheters are designed to stay in place and others are used only as needed.
  • Medication(s): may be used alone or in combination with catheterization to help relax and/or shrink the size of the prostate gland, if of course the prostate gland is believed to be the cause of the urinary retention/obstruction. In cases of prostatitis or infection of the prostate, an antibiotic may be prescribed as well.
  • Surgery: surgery may sometimes be recommended especially in case of a urethral stricture (scar tissue) or an enlarged prostate gland that is unresponsive to conservative medical treatment.

Please refer to the “Urethral Stricture” and “BPH/Enlarged Prostate” sections of this educational material, respectively, for additional information.

older male getting help from doctor for urinary retention

Urinary Retention FAQs

What is the most common cause of urinary retention in men and women?

In men, the most common cause is an enlarged prostate gland. In women, the most common cause is bladder muscle weakness or dysfunction.

How is acute and chronic urinary retention different?

Acute urinary retention occurs suddenly, it’s painful and there is usually an inciting event that can be identified.

Chronic urinary retention occurs slowly, over a prolonged period of time and typically does not cause pain. It can actually be completely asymptomatic.

Both types can lead to bladder dysfunction, UTIs, urinary incontinence and kidney injury, that in some cases may be irreversible.

What is the worst thing that can happen to me if I have urinary retention?

Urinary retention may cause significant and sometimes irreversible kidney injury and may also lead to a severe urinary tract infection that may develop into sepsis.

When should I see a doctor?

You should schedule an appointment with your doctor as soon as you begin to notice symptoms.

Find Comfort with Urologic Surgery of NWI

We are dedicated to compassionate and comprehensive urologic care, offering you necessary and appropriate evaluations and treatments that you may need to feel and be healthy. With years of experience in urologic care, we are the team that you can trust.

(219) 286-6888

Urinary Retention Treatment in Northwest Indiana

Urologic Surgery of NWI is your source of reliable information and excellent urologic care in the region. We are here to answer all of your questions and take care of you like family. Please contact us today to schedule your consultation appointment.

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We will work together to jointly find the best treatment plan for you. We respect your wishes and are here to empower you to make your own decisions regarding your health and well being. Please contact our office to schedule a consultation.

(219) 286-6888

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contact information

  • (219) 286-6888
  • Fax: (219) 286-6909
  • office@urologicsurgerynwi.com
  • 1101 Glendale Blvd., Unit 107 A,
    Valparaiso, IN 46383

Office hours

  • Monday-Friday
  • 8am-4:30pm
  • Closed On Weekends

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HOME
About Dr. Pinkhasov
Patient Reviews
Conditions/Procedures

We Treat:

  • Erectile Dysfunction
  • Groin Pain
  • Hydrocele
  • Hydronephrosis
  • Kidney Stones
  • Low Testosterone
  • Vasectomy
  • Urethral Stricture
  • Scrotal Swelling
  • BPH/Enlarged Prostate
  • Prostatitis
  • Elevated PSA
  • Overactive Bladder
  • Urinary Tract Infection
  • Urinary Incontinence
  • Urinary Retention
  • Hematuria

Cancers:

  • • ADRENAL MASS
  • • BLADDER CANCER
  • • URETHRAL CANCER
  • • TESTICULAR CANCER
  • • KIDNEY CANCER
  • • PENILE CANCER
  • • PROSTATE CANCER
Patient Resources
  • Patient Forms
  • Supplemental Consent Forms
  • Surgery Instructions
  • Pay My Bill
  • Patient Portal
  • Links & Resources
CONTACT US