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Diseases » Urine retention » Treatments
 

Treatments for Urine retention

Contents
  1. Urine retention: Introduction
  2. Treatment list for Urine retention
  3. Buy Products Related to Treatments for Urine retention
  4. Urine retention: Introduction

Treatments for Urine retention

The list of treatments mentioned in various sources for Urine retention includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

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Urine retention: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Drugs and Medications used to treat Urine retention:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Urine retention include:

Hospital statistics for Urine retention:

These medical statistics relate to hospitals, hospitalization and Urine retention:

  • 0.25% (32,162) of hospital consultant episodes were for retention of urine in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 83% of hospital consultant episodes for retention of urine required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 86% of hospital consultant episodes for retention of urine were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 14% of hospital consultant episodes for retention of urine were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 75% of hospital consultant episodes for retention of urine required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • more hospital information...»

Hospitals & Medical Clinics: Urine retention

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Urine retention:

Hospital & Clinic quality ratings » »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Urine retention, on hospital and medical facility performance and surgical care quality:

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Book Excerpts: Treatment of Urine retention

Treatments of Urine retention: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Urine retention.

Dysuria: Treatment
(In a Page: Signs and Symptoms)

  • Cystitis/prostatitis: Appropriate antibiotics
    –Begin with empiric therapy and adjust to sensitivities
    –Noninfectious cystitis: Remove offending medications
    or allergens if possible
  • Pyelonephritis: Outpatient antibiotic treatment in patients who tolerate liquids and have no significant co-morbidities; otherwise, admit for IV hydration and antibiotics
  • Urolithiasis: Hydration, pain control while attempting to pass stones; urology referral if stones will not pass
  • Atrophic vaginitis: Consider estrogen creams or systemic replacement if other symptoms
  • BPH: Symptomatic relief with α-blockers, 5α-reductase-inhibitors, or saw palmetto extract
  • Sexually transmitted diseases
    –Treat specific etiology and screen for coexistent STDs (e.g., HIV, hepatitis B)

    • » READ BOOK EXCERPT ONLINE »

    Source: In a Page: Signs and Symptoms, 2004

    Urinary Stream (Decreased): Treatment
    (In a Page: Signs and Symptoms)

    • Initial evaluation for urinary retention, which must be treated immediately with catheterization to prevent additional injury and relieve pain; thereafter, evaluation and treatment of infection and pain is indicated
      • BPH: “Watchful waiting,” α-blockers, 5α-reductase inhibitors, TURP or other transurethral procedures, and/or open prostatectomy
      • Urethral stricture: Dilation, lysis, open surgical repair
      • Chronic urethritis/prostatitis: Long-term antibiotics
      • Prostate cancer may require prostatectomy or no intervention, depending on stage of the cancer and patient issues (e.g., age, co-morbid conditions)
      • Bladder cancer: Transurethral resection, intravesical chemotherapy; radical cystectomy for late disease, external radiation, and/or systemic chemotherapy
      • Neuropathic bladder: Parasympatholytic medications, intermittent or permanent catheterization, or surgical options (section of sacral nerve roots, ureteral diversion, and/or artificial sphincter)
      >>

    » READ BOOK EXCERPT ONLINE »

    Source: In a Page: Signs and Symptoms, 2004

    Jugular Venous Distension: Treatment
    (In a Page: Signs and Symptoms)

    • Treatment depends on the underlying disease process
    • Atrial fibrillation
    • Ventricular tachycardia: DC countershock in presence of hemodynamic instability; antiarrhythmic therapy with amiodarone or lidocaine; repletion of electrolytes with torsade de pointes; ICD to treat recurrences
    • Constrictive pericarditis: Judicious management of volume status; pericardial stripping hemodynamic compromise is substantial
    • Tricuspid regurgitation/stenosis: Surgical correction if symptomatic or severe enough
    • Atrial myxoma: Surgical excision
    • Heart block may require permanent pacemaker

    » READ BOOK EXCERPT ONLINE »

    Source: In a Page: Signs and Symptoms, 2004

    Dysuria: Treatment
    (In A Page: Pediatric Signs and Symptoms)

    • UTI: Empiric antibiotics (e.g., co-trimoxazole) pending culture; adjust antibiotics based on bacterial sensitivities
      • STD
        –Simple cervicitis: Treat with IM ceftriaxone and PO azithromycin, metronidazole if Trichomonas present
        –For an ill patient with signs of PID, consider hospital admission, give IV cefoxitin and PO doxycycline
    • Candidal vaginitis: Topical antifungal agents or oral fluconazole
    • Hypercalciuria/kidney stones
      –Increase fluid intake, decrease sodium intake (increases urinary calcium excretion), do not restrict calcium intake
      –Treat with thiazide diuretics (decrease urinary calcium excretion) if patient is persistently symptomatic and/or has urinary calculi
    • Avoid instrumentation/local irritants (e.g., bubble baths)

    >

    » READ BOOK EXCERPT ONLINE »

    Source: In A Page: Pediatric Signs and Symptoms, 2007

    Anuria: Emergency interventions
    (Handbook of Signs & Symptoms (Third Edition))

    After detecting anuria, your priorities are to determine if urine formation is occurring and to intervene appropriately. Prepare to catheterize the patient to relieve any lower urinary tract obstruction and to check for residual urine. You may find that an obstruction hinders catheter insertion and that urine return is cloudy and foul smelling. If you collect more than 75 ml of urine, suspect lower urinary tract obstruction; if you collect less than 75 ml, suspect renal dysfunction or obstruction higher in the urinary tract.

    » READ BOOK EXCERPT ONLINE »

    Source: Handbook of Signs & Symptoms (Third Edition), 2006

    Bladder distention: Emergency interventions
    (Handbook of Signs & Symptoms (Third Edition))

    If the patient has severe distention, insert an indwelling urinary catheter to help relieve discomfort and prevent bladder rupture. If more than 700 ml is emptied from the bladder, compressed blood vessels dilate and may make the patient feel faint. Typically, the indwelling urinary catheter is clamped for 30 to 60 minutes to permit vessel compensation.

    » READ BOOK EXCERPT ONLINE »

    Source: Handbook of Signs & Symptoms (Third Edition), 2006

    Lower urinary tract infection: Treatment
    (Professional Guide to Diseases (Eighth Edition))

    Appropriate antimicrobials are the treatment of choice for most initial lower UTIs. A course of antibiotic therapy lasting from 7 to 10 days is standard, but recent studies suggest that a single dose of an antibiotic or an antibiotic regimen of 3 to 5 days length may be sufficient to render the urine sterile. After 3 days of antibiotic therapy, urine culture should show no organisms. If the urine isn’t sterile, bacterial resistance has probably occurred, making the use of a different antimicrobial necessary. Single-dose antibiotic therapy with amoxicillin or co-trimoxazole may be effective in females with acute noncomplicated UTI. A urine culture taken 1 to 2 weeks later indicates whether or not the infection has been eradicated.

    Recurrent infections due to infected renal calculi, chronic prostatitis, or structural abnormality may necessitate surgery; prostatitis also requires long-term antibiotic therapy. In patients without these predisposing conditions, long-term, low-dosage antibiotic therapy is the treatment of choice.

    PEDIATRIC TIP Fluoroquinolones aren’t used for children because of possible adverse effects on developing cartilage.

    » READ BOOK EXCERPT ONLINE »

    Source: Professional Guide to Diseases (Eighth Edition), 2005

    Anuria: Emergency interventions
    (Professional Guide to Signs & Symptoms (Fifth Edition))

    After detecting anuria, your priorities are to determine if urine formation is occurring and to intervene appropriately. Prepare to catheterize the patient to relieve any lower urinary tract obstruction and to check for residual urine. You may find that an obstruction hinders catheter insertion and that urine return is cloudy and foul smelling. If you collect more than 75 ml of urine, suspect lower urinary tract obstruction; if you collect less than 75 ml, suspect renal dysfunction or obstruction higher in the urinary tract.

    » READ BOOK EXCERPT ONLINE »

    Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

    Bladder distention: Emergency interventions
    (Professional Guide to Signs & Symptoms (Fifth Edition))

    If the patient has severe distention, insert an indwelling urinary catheter to help relieve discomfort and prevent bladder rupture. If more than 700 ml is emptied from the bladder, compressed blood vessels dilate, which may make the patient feel faint. Typically, the indwelling urinary catheter is clamped for 30 to 60 minutes to permit vessel compensation.

    » READ BOOK EXCERPT ONLINE »

    Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

    Urinary tract infection, lower: Treatment
    (Handbook of Diseases)

    Appropriate antimicrobials are the treatment of choice for most initial lower UTIs. A 7- to 10-day course of antibiotic therapy is standard, but recent studies suggest that a single dose of an antibiotic or a 3- to 5-day antibiotic regimen may be sufficient to render the urine sterile. After 3 days of antibiotic therapy, urine culture should show no organisms.

    If the urine isn’t sterile, bacterial resistance has probably occurred, making the use of a different antimicrobial necessary. Single-dose antibiotic therapy with amoxicillin or co-trimoxazole may be effective in women with acute, noncomplicated UTI. A urine culture taken 1 to 2 weeks later indicates whether the infection has been eradicated.

    Recurrent infections due to infected renal calculi, chronic prostatitis, or structural abnormality may necessitate surgery; prostatitis also requires long-term antibiotic therapy. In patients without these predisposing conditions, long-term, low-dosage antibiotic therapy is the treatment of choice.

    » READ BOOK EXCERPT ONLINE »

    Source: Handbook of Diseases, 2003

    Anuria: Nursing considerations
    (Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)

    If catheterization fails to initiate urine flow, prepare the patient for diagnostic studies — such as ultrasonography, cystoscopy, retrograde pyelography, and renal scan — to detect an obstruction higher in the urinary tract. If these tests fail to reveal an obstruction, prepare the patient for further kidney function studies. If these tests reveal an obstruction, immediate surgery may be indicated to remove the obstruction, and a nephrostomy or ureterostomy tube may be inserted to drain urine.

    Carefully monitor the patient’s vital signs and intake and output, initially saving any urine for inspection. Restrict daily fluid allowance to 600 ml more than the previous day’s total urine output. Restrict foods and juices high in potassium and sodium, and make sure that the patient maintains a balanced diet with controlled protein levels. Provide low-sodium hard candy to help decrease thirst. Record fluid intake and output, and weigh the patient daily.

    Patient teaching

    Explain all tests and procedures to the patient. Depending on the cause of anuria, review the disorder’s early warning signs and symptoms. If the patient requires surgery, withhold food and fluids. Review medications that may worsen renal function.

    » READ BOOK EXCERPT ONLINE »

    Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007

    Bladder distention: Nursing considerations
    (Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)

    Monitor the patient’s vital signs and the extent of bladder distention. Obtain bladder urinary volume with a bladder scanner. Encourage the patient to change positions to alleviate discomfort. Administer medications for pain relief.

    Prepare the patient for diagnostic tests, such as endoscopy and radiologic studies, to determine the cause of bladder distention. Withhold fluids and food if surgery is indicated.

    Patient teaching

    If the patient doesn’t require immediate urinary catheterization, provide privacy and suggest that a normal voiding position be assumed. Teach Valsalva’s maneuver, or gently perform Credé’s maneuver. Use the power of suggestion to stimulate voiding. For example, run water in the sink, pour warm water over his perineum, place his hands in warm water, or play tapes of aquatic sounds.

    » READ BOOK EXCERPT ONLINE »

    Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007

    Anuria: Emergency Actions
    (Signs & Symptoms: A 2-in-1 Reference for Nurses)

    After detecting anuria, your priorities are to determine if urine formation is occurring and to intervene appropriately. Prepare to catheterize the patient to relieve any lower urinary tract obstruction and to check for residual urine. You may find that an obstruction hinders catheter insertion and that urine return is cloudy and foul smelling. If you collect more than 75 ml of urine, suspect lower urinary tract obstruction; if you collect less than 75 ml, suspect renal dysfunction or obstruction higher in the urinary tract.

    » READ BOOK EXCERPT ONLINE »

    Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

    Bladder distention: Emergency Actions
    (Signs & Symptoms: A 2-in-1 Reference for Nurses)

    If the patient has severe distention, insert an indwelling urinary catheter to help relieve discomfort and prevent bladder rupture. If more than 700 ml is emptied from the bladder, compressed blood vessels dilate and may make the patient feel faint. Typically, the indwelling urinary catheter is clamped for 30 to 60 minutes to permit vessel compensation.

    » READ BOOK EXCERPT ONLINE »

    Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

    Dysuria: Patient counseling
    (Signs & Symptoms: A 2-in-1 Reference for Nurses)

    Encourage the patient to increase his fluid intake to 3.2 qt (3 L))/day, unless contraindicated. Explain the importance of frequent urination. Show the female patient how to perform proper perineal care and tell her to avoid tub baths, especially bubble baths, and vaginal deodorants. Explain the importance of taking the full course of prescribed antibiotics, even if symptoms subside.

    » READ BOOK EXCERPT ONLINE »

    Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

    Oliguria: Patient counseling
    (Signs & Symptoms: A 2-in-1 Reference for Nurses)

    Explain applicable fluid restrictions or increases to the patient. For example, the patient with renal calculi may require increased fluids, whereas the patient with renal failure may need to restrict fluid intake. Review the prescribed diet with the patient, and obtain a nutritional consult, if necessary.

    » READ BOOK EXCERPT ONLINE »

    Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

    Urinary hesitancy: Patient counseling
    (Signs & Symptoms: A 2-in-1 Reference for Nurses)

    Teach the patient signs and symptoms of UTI to report. Also, teach him how to perform a clean, intermittent self-catheterization.

    » READ BOOK EXCERPT ONLINE »

    Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

    Urinary incontinence: Patient counseling
    (Signs & Symptoms: A 2-in-1 Reference for Nurses)

    To prevent stress incontinence, teach the patient Kegel exercises to help strengthen the pelvic floor muscles. If appropriate, teach the patient self-catheterization techniques. Reassure your patient that episodes of incontinence don’t signal a failure of the program. Encourage him to maintain a persistent, tolerant attitude.

    » READ BOOK EXCERPT ONLINE »

    Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

    Anuria: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ If catheterization fails to initiate urine flow, prepare the patient for diagnostic studies—such as ultrasonography, cystoscopy, retrograde pyelography, and renal scan—to detect an obstruction higher in the urinary tract.

    ▪ If diagnostic tests reveal an obstruction, prepare him for immediate surgery to remove the obstruction, or to insert a nephrostomy or ureterostomy tube to drain the urine.

    ▪ If tests fail to reveal an obstruction, prepare the patient for further kidney function studies.

    ▪ Monitor the patient's vital signs and intake and output.

    ▪ Restrict daily fluid allowance to 600 ml more than the previous day's total urine output.

    ▪ Restrict foods and juices high in potassium and sodium, and make sure that the patient maintains a balanced diet with controlled protein levels.

    ▪ Provide low-sodium hard candy to help decrease thirst.

    ▪ Weigh the patient daily.

    ▪ Monitor laboratory studies, especially potassium levels.

    ▪ Monitor cardiac rhythm for arrhythmias.

    Patient teaching

    ▪ Teach the patient about maintaining fluid restrictions and about dietary modifications, such as restricting potassium and sodium, as needed.

    ▪ Instruct the patient on nephrostomy tube or ureterostomy tube care if needed.

    ▪ Explain the disorder or cause of anuria and the treatment plan.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007

    Bladder distention: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ Insert a urinary catheter to relieve distention. If a catheter is already in place, irrigate or replace it to improve function.

    ▪ Monitor the patient's vital signs, intake and output, and the extent of bladder distention.

    ▪ Encourage the patient to change positions to alleviate discomfort.

    ▪ Administer an analgesic, as appropriate.

    ▪ Prepare the patient for diagnostic tests (such as cystoscopy and radiologic studies) to determine the cause of bladder distention.

    ▪ Prepare the patient for surgery if interventions fail to relieve bladder distention and obstruction prevents catheterization.

    ▪ Provide privacy for voiding and encourage a normal voiding position.

    Patient teaching

    ▪ Explain the underlying cause and treatment plan.

    ▪ Teach the patient to use Valsalva's maneuver or Credé's method to empty the bladder.

    ▪ Explain how to stimulate voiding or perform self-catheterization as appropriate.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007

    Dysuria: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ Monitor the patient's vital signs and intake and output.

    ▪ Administer prescribed drugs.

    ▪ Prepare the patient for such tests as urinalysis and cystoscopy.

    Patient teaching

    ▪ Explain the importance of increased fluid intake.

    ▪ Emphasize the importance of frequent urination.

    ▪ Teach the patient to perform perineal care.

    ▪ Discourage the use of bubble baths and vaginal deodorants.

    ▪ Discuss the importance of taking prescribed drugs as instructed.

    ▪ Explain to the patient his diagnosis and the treatment plan.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007

    Oliguria: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ Monitor the patient's vital signs, intake and output, and daily weight.

    ▪ Depending on the cause of oliguria, restrict fluids to between 0.6 and 1 L more than the patient's urine output for the previous day.

    ▪ Provide a diet low in sodium, potassium, and protein.

    ▪ Prepare the patient for diagnostic tests, such as laboratory tests (including serum blood urea nitrogen and creatinine levels, urea and creatinine clearance, urine sodium levels, and urine osmolality), abdominal X-rays, ultrasonography, a computed tomography scan, cystography, and a renal scan.

    ▪ Prepare the patient for dialysis.

    Patient teaching

    ▪ Explain any fluid and dietary restrictions.

    ▪ Explain the underlying disorder and the treatment plan.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007

    Urinary hesitancy: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ Monitor the patient's voiding pattern and intake and output.

    ▪ Frequently palpate for bladder distention.

    ▪ Apply local heat to the perineum or the abdomen to enhance muscle relaxation and aid urination.

    ▪ Prepare the patient for tests, such as cystometrography or cystourethrography.

    Patient teaching

    ▪ Explain the underlying disorder and treatment plan.

    ▪ Teach the patient how to perform a clean, intermittent self-catheterization.

    ▪ Discuss the importance of increasing fluid intake and voiding frequently.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007

    Urinary incontinence: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ Prepare the patient for diagnostic tests, such as cystoscopy, cystometry, and a complete neurologic workup. Obtain a urine specimen.

    ▪ Implement a bladder retraining program. (See Correcting incontinence with bladder retraining.)

    ▪ If the patient's incontinence has a neurologic basis, monitor him for urine retention, which may require periodic catheterizations.

    Patient teaching

    ▪ Explain the underlying disorder and treatment plan.

    ▪ To prevent stress incontinence, teach the patient how to perform Kegel exercises to help strengthen the pelvic floor muscles.

    ▪ Teach the patient self-catheterization techniques, as appropriate.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007



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