Medical Surgical Nursing

(Tina Sui) #1

  • Surgery

    • Bladder neck suspension

    • Prostatectomy



  • Behavioral modification

    • Kegal exercise

    • Fluid management

    • Timed voiding (? Every 2 hours)




Urinary Retention



  • Occurs when bladder cannot empty

  • May be caused by obstructive or functional problem

    • Benign prostatic hypertrophy

    • Surgery

    • Drugs

    • Neurologic diseases

    • Trauma




Urinary retention may result from diabetes, prostatic enlargement, urethral pathology


(infection, tumor, calculus), trauma (pelvic injuries), pregnancy, or neurologic


disorders such as stroke, spinal cord injury, multiple sclerosis, or Parkinson's disease.


Urinary Retention -Manifestations



  • Overflow voiding (dribbling, frequency)

  • Incontinence

  • S & S of UTI

    • hematuria, urgency, frequency, nocturia, and dysuria



  • Firm, distended bladder

    • May be displaced




Urinary Retention/ Complications



  • Hydronephrosis

  • Acute renal failure

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