Acute urinary retention and the difficult catheterization: current emergency management

Acute urinary retention (AUR) is a common presentation to emergency departments. This article updates the reader on the appropriate management, investigations and guidelines for AUR. It looks at the mechanism of normal micturition and describes the theories of AUR. It outlines urethral catheterizati...

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Bibliographic Details
Published inEuropean journal of emergency medicine Vol. 23; no. 2; p. 80
Main Authors Sliwinski, Ania, D'Arcy, Frank T, Sultana, Ron, Lawrentschuk, Nathan
Format Journal Article
LanguageEnglish
Published England 01.04.2016
Subjects
Acute Disease
Emergency Medical Services - methods
Humans
Urinary Catheterization - methods
Urinary Retention - therapy
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Summary:Acute urinary retention (AUR) is a common presentation to emergency departments. This article updates the reader on the appropriate management, investigations and guidelines for AUR. It looks at the mechanism of normal micturition and describes the theories of AUR. It outlines urethral catheterization techniques for difficult cases, reviews suprapubic catheterization procedures and describes the management of AUR in polytrauma. Although emergency management is by bladder drainage, key points in the history and examination may expose significant, latent pathologies.
ISSN:1473-5695
DOI:10.1097/MEJ.0000000000000334