Urinary retention

Clinic

• It is an inability to completely empty the bladder.
• Onset can be sudden or gradual. When of sudden onset, symptoms include an inability to urinate and lower abdominal pain. When of gradual onset, symptoms may include loss of bladder control, mild lower abdominal pain, and a weak urine stream. Those with long-term problems are at risk of urinary tract infections.

Signs and symptoms

1. Sudden onse: Inability to urinate and lower abdominal pain.
2. Gradual onset: Loss of bladder control, mild lower abdominal pain, and a weak urine stream. Those with long-term problems are at risk of urinary tract infections.

Causes

Bladder

• Infection
• Detrusor sphincter dyssynergia
• Neurogenic bladder (Spinal cord damage, Pelvic splanchic nerve damage, Cauda equina syndrome, Pontine micturition or storage center lesions, Demyelinating diseases or Parkinson's disease)
• Iatrogenic Damage to the bladder

Prostate

• Benign prostatic hyperplasia (BPH)
• Prostate cancer and other pelvic malignancies
• Prostatitis

Penile urethra

• Congenital urethral valves
• Phimosis or pinhole meatus
• Circumcision
• Obstruction in the urethra, for example a stricture (usually caused either by injury or STD), a metastasis or a precipitated pseudogout crystal in the urine
• Pseudodyssynergia
• STD lesions (gonorrhoea causes numerous strictures, leading to a "rosary bead" appearance, whereas chlamydia usually causes a single stricture)
• Emasculation

Postoperative

Risk factors include: Old Age, Specific Medications, Anesthesia, Benign prostatic hyperplasia, Related Surgeries and Postoperative pain.

Chronic

• It can either be as a result of muscle or neurological damage.
  • Neurological damage, there is a disconnect between the brain to muscle communication, which can make it impossible to completely empty the bladder
  • Muscle damage, it is likely that the muscles are not able to contract enough to completely empty the bladder.
• The most common cause of chronic urinary retention is BPH.

Entities / Miasm

Urine retention: HSV-1, HSV-2, LBB

Tissue Salt Remedies

MP

Repertory

Etiology

• Acute infectious disease: Acon, Apis, Caust, Fee-p, Op
• Cold exposure: Caust

• Beer drinking: Nux-v
• Common cold
  • Children: Acon, Dulc
  • Adults: Acon, Caust, Dulc, Puls

• Fright: Acon, Op
• Hysteria: Ign, Zinc
• Menses during: Tarent
• Operation after: Calen, Caust
• Physical exertion after: Arn, Caps, Rhus-t
• Trauma: Arn, Bell, Calen
• Public appearance in: Ambr, Nat-m

Specials situations

• Neonate still after birth: Acon
• Children, who shrike from urinary retention: Acon, Apis, Caust
• Senile: Caust, Chin, Con, Dig, Zinc
• Urgency but cannot urinate: Ars, Caust, Phos, Plb