Specialized Treatment for Urinary Retention in NYC
What is Urinary Retention?
Urinary retention refers to inability to empty the urinary bladder. Urinary retention may be partial or complete.
Partial urinary retention occurs when the urinary bladder empties only partially after urination. Bladder ultrasound can determine postvoid residual (PVR) volume of the urine left after urination.
Complete urinary retention occurs when the bladder does not empty at all or empties minimally with a large amount of urine left over. The patient may be urinating small amounts of urine frequently, but the bladder may hold greater than 500 of an 1000-2000 mL of urine. Complete urinary retention is a dangerous condition which may affect kidney function, predispose to urinary tract infections and cause blood in urine.
Symptoms of Urinary Retention
Occasionally urinary retention may be minimally symptomatic. Commonly urinary retention symptoms include lower abdominal discomfort, pressure and pain. Frequent urination may be a sign of urinary retention. With complete urinary retention, you may feel that your bladder is full and you need to urinate but unable to pass urine. Slow urine stream and waking up at night to urinate may also be signs of urinary retention. Blood in urine and frequent UTI may also be caused by urinary retention.
What is the normal amount of urine that can be left in the bladder after urination?
The amount of urine left in the urinary bladder after voiding, depends on the age and gender of the patient, The medications they may be taking and their medical condition. To some extent, the amount of urine present in the bladder prior to urination also affects how much is left at the end of urination.
Younger patients should not have any urine left in the bladder after urination or a minimal amount. In general women should also have minimal to no urine left; in older women up to 50 mL of urine may be acceptable. UTI can increase the amount of residual urine in the bladder.In older man, in general, larger postvoid residual may be acceptable. Certainly postvoid residual greater than 100 250 mL can affect urinary function and is an indicator of underlying bladder problem.
Causes of Urinary Retention
The causes of urinary retention differ in men and women.
Urinary Retention in Women
In women, especially younger women, the most common causes of urinary retention are related to neurological disease such as multiple sclerosis or medications. In older women. bladder outlet obstruction from pelvic organ prolapse such as cystocele, uterine prolapse can lead to urinary tract obstruction and urinary retention but neurological problems such as spinal cord injury, stroke and multiple sclerosis among others can lead to urinary retention in women.
Urinary Retention in Men
Urinary retention is much more common in men then in women. The causes of urinary retention in men including all the causes. The causes urinary retention women including neurological problems such as multiple sclerosis, spinal cord injury, stroke, and medications. Much more common in men, especially in men older than age 50. His urinary retention caused by enlarged prostate or poorly functioning bladder.
Treatment options for urinary retention
At New York Urology Specialists we offer advanced innovative treatment options for urinary retention in men and women.
- Clean intermittent catheterization, indwelling Foley catheterization.
- Advanced magnetic driven motorized artificial sphincter for women with urinary incontinence (Vesiflo Bladder Drainage)
- Sacral Neuromodulation with InterStim for Nonobstructive Urinary Retention
- Greenlight laser for enlarged prostate in men.
- Bipolar transurethral resection of prostate for enlarged prostate in men
Dr. Alex Shteynshlyuger is a board certified urologist in NYC who specializes in treating men and women with urinary problems including frequent urination, difficulty emptying the bladder, urinary urgency and incontinence.
We see patients from all parts of New York City (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester and New Jersey as well as other parts of the USA. We also see international patients from Canada, Japan, South America, Russia, Asia, Europe, Middle East, Africa, the Caribbean and other parts of the world.