Hernández Hernández David, Tesouro Ricardo Bernardez, Castro-Diaz David
Department of Urology, University Hospital of the Canary Islands, University of La Laguna, Santa Cruz de Tenerife - Spain.
Urologia. 2013 Sep-Dec;80(4):257-64. doi: 10.5301/RU.2013.11688. Epub 2013 Dec 17.
Urinary retention, defined as the inability to void, is a common medical problem. If unidentified and/or untreated, it may become a serious condition that can lead to kidney damage or urosepsis, compromising the patient's life. Acute urinary retention (AUR) is usually easy to identify and to treat as patients usually complain of hypogastric pain and anuria. Proper bladder drainage with urethral or suprapubic catheter is the first line of treatment, with posterior studies to determine the cause of retention. Chronic urinary retention (CUR) is often much more difficult to identify. It is invariably linked to increased post-void residual urine (PVR), but its asymptomatic nature makes it often a hidden condition. There is a wide range of intrinsic and extrinsic, obstructive and non-obstructive causes affecting the lower urinary tract, which can lead to urinary retention. Due to the differences in urinary physiology and in order to simplify diagnosis and management, these are usually studied separately in men and in women. Management consists of a variety of options depending on the cause of retention, including conservative treatment, drug therapy and several forms of surgery. In this review, we make an overview of the main causes of acute and chronic urinary retention in men and women, focusing on the main aspects of diagnosis and management.
尿潴留被定义为无法排尿,是一个常见的医学问题。如果未被识别和/或未得到治疗,它可能会发展成一种严重的病症,导致肾损伤或尿脓毒症,危及患者生命。急性尿潴留(AUR)通常易于识别和治疗,因为患者通常会主诉下腹部疼痛和无尿。通过尿道或耻骨上导管进行适当的膀胱引流是一线治疗方法,随后需进行进一步检查以确定尿潴留的原因。慢性尿潴留(CUR)往往更难识别。它总是与排尿后残余尿量(PVR)增加有关,但其无症状的特性使其常常成为一种隐匿性病症。有多种内在和外在、梗阻性和非梗阻性原因会影响下尿路,进而导致尿潴留。由于泌尿生理学的差异,为了简化诊断和管理,通常分别对男性和女性进行研究。治疗方法包括根据尿潴留的原因采取多种选择,包括保守治疗、药物治疗和几种手术方式。在本综述中,我们概述了男性和女性急性和慢性尿潴留的主要原因,重点关注诊断和管理的主要方面。