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Dr. Ajith Kumar J MD
Dept. of Emergency Medicne
KIMS, Kollam
India
editor
Acute Urinay Retention
Etiology
Obstructive cause
| Neurogenic cause
|
Trauma
| Extraurinary cause
|
Psychogenic cause
| Infection
|
Operative
| Childhood
|
Gender Specific Cause for AUR
Men | Women |
Obstructive
Infection
| Obstructive
Infection
|
Diagnosis
USG : To diagnose urinary retention and asses Post voidal residual urine, BPH.
CBC, Urine analysis & Culture if suspicion of infection is present.
Management
Uretheral or Suprapubic Cathetrisation
Pharmacological Therapy
Alpha adrenergic blockers exerts its effect on the bladder neck and prostrate, may relax bladder smooth muscle reducing outlet resistance to urinary flow.
They can be used in BPH.
They can cause postural hypotension.
Drug | Class | Availability | Dose |
Finasteride | 5 alpha reductase inhibitor | T. Finast 5mg | 5mg OD for 6 months |
Tamsulosin | Alpha 1 adrenoreceptor blocking agent | C. Urimax 0.2mg,0.4mg | 400mcd OD |
Alfuzosin | Alpha 1 adrenoreceptor blocking agent | T. Alfusin-ER 10mg | 2.5mg TID |
Updated on 21/01/2015
Reference
Tintinalli
emmedonline
Dr. Ajith Kumar J MD
Dept. of Emergency Medicne
KIMS, Kollam
India
editor