Acute Retention of Urine
Protocols
Clinical Features:
- Lower abdominal pain
- inability to urination
- lower abdominal distention
on examination:
- General - look for fever and signs of infection and systemic illness.
- Abdominal - a tender enlarged bladder with dullness to percussion well above the symphysis pubis, often almost to the level of the umbilicus.
- Genitourinary:
- In men, look for phimosis or meatal stenosis, as well as urethral discharge and genital vesicles.
- In women, look for evidence of:
- Vulval or vaginal inflammation or infection.
- Cystocele, rectocele or uterine prolapse.
- Pelvic mass (eg, retroverted gravid uterus, uterine fibroid, gynaecological malignancy).
- Per rectum (PR) - check anal tone, prostatic size, nodules, tenderness, etc and exclude faecal impaction[6].
- Neurological - look for evidence of prolapsed disc or cord compression by checking lower limb power and reflexes as well as perineal sensation.
Rx:
- Bed rest
- Diet : Normal
1. Tab. Neofloxin (500mg)(ciprofloxacin)
- 1+0+1….... 7 days
2. Tab.Viset (50mg) (Tiemonium)
- 1+1+1 (ভরাপেটে পেট ব্যাথা হলে).....3-5 days
3. Tab. Seclo (20mg) (Omeprazole)
- 1+0+1 ( খাবার ৩০ মি আগে)......7 days
4. Catheterization of patient
If failed : Supra Pubic Puncture