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Suggest Remedies For Severe Urinary Retention
Posted on
Fri, 8 Jul 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 8 Jul 2016
Answered on
Mon, 25 Jul 2016
Last reviewed on
Question : Urology, 1. do you feel that manual compression of bladder for assistance in helping with severe urinary retention is not recommended? 2. My first appointment with urology was 6-22 where severe urinary retention was confirmed. Flowmax was tried with allergic reaction then Alfuzosin 10 MG was tried but it lowered her blood pressure too much and did not improve her problem. Her next earliest appointment is 7-21-16. Do you feel it is dangerous to wait this long without renal damage?
Brief Answer:
bladder urine must be emptied by any means.
Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist,i can understand your concern.
As long she's without urinary infection,it's alright to wait.
Also,there should be no fever or blood in the urine.
Manual compression of bladder,is never advised as treatment to relieve retention.
At her age,with COPD,pacemaker and artificial valves,it's safest to get catheterised.
This will give her a restful sleep at night,which she doesn't have at present.
It will also help maintain her kidney function and prevent urinary infection.
The other option is to do an intermittent catheterisation, by self or with help.
If you mention the medication she's on,i can advise further treatment.
Also send all her reports,especially the following :
1. urine routine and culture,if done.
2. blood routine,creatinine,RBS,LFT,and platelets.
3. Uroflowmetry.
4. ultrasound-KUB,with residual urine.
According to the reports and medication,i'll advise further treatment.
Wish her well.
Dr.Matthew J. Mangat.
bladder urine must be emptied by any means.
Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist,i can understand your concern.
As long she's without urinary infection,it's alright to wait.
Also,there should be no fever or blood in the urine.
Manual compression of bladder,is never advised as treatment to relieve retention.
At her age,with COPD,pacemaker and artificial valves,it's safest to get catheterised.
This will give her a restful sleep at night,which she doesn't have at present.
It will also help maintain her kidney function and prevent urinary infection.
The other option is to do an intermittent catheterisation, by self or with help.
If you mention the medication she's on,i can advise further treatment.
Also send all her reports,especially the following :
1. urine routine and culture,if done.
2. blood routine,creatinine,RBS,LFT,and platelets.
3. Uroflowmetry.
4. ultrasound-KUB,with residual urine.
According to the reports and medication,i'll advise further treatment.
Wish her well.
Dr.Matthew J. Mangat.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
She has been tested twice recently for UTI and in both cases they were negative.
I am glad to hear your position on bladder compression because we have seen on the Internet that this is dangerous because it backs urine up to kidneys. I will make sure she does not do this anymore. We were told to do this by an RN at a urologist office. No blood in urine. She has some edema in her feet and ankles and she is taking Lasix for that. Lasix actually seems to help her urinate. She has no pulmonary edema. So we will hang in there and try to get setup for self XXXXXXX asap. She does have cough and slight shortness of breath. Vitals are all OK. Thank you for your response.
I am glad to hear your position on bladder compression because we have seen on the Internet that this is dangerous because it backs urine up to kidneys. I will make sure she does not do this anymore. We were told to do this by an RN at a urologist office. No blood in urine. She has some edema in her feet and ankles and she is taking Lasix for that. Lasix actually seems to help her urinate. She has no pulmonary edema. So we will hang in there and try to get setup for self XXXXXXX asap. She does have cough and slight shortness of breath. Vitals are all OK. Thank you for your response.
Brief Answer:
Never use lasix to aid in urination.
Detailed Answer:
Hello XXXXXXX
Again, lasix isn't advised as treatment to help urination.
In fact,it may never be advised in your case,due to hypertension and a transplant.
You can also develop dehydration.So avoid further use of lasix,to help urination.
Yes,intermittent catheterisation should be most effective in your case.
I'm assuming the scan report and kidney function are normal.
Feel free to clear all your doubts.
Should you close this query,you may give your opinion on the answers.
Wishing you good health.
Dr.Matthew J. Mangat.
Never use lasix to aid in urination.
Detailed Answer:
Hello XXXXXXX
Again, lasix isn't advised as treatment to help urination.
In fact,it may never be advised in your case,due to hypertension and a transplant.
You can also develop dehydration.So avoid further use of lasix,to help urination.
Yes,intermittent catheterisation should be most effective in your case.
I'm assuming the scan report and kidney function are normal.
Feel free to clear all your doubts.
Should you close this query,you may give your opinion on the answers.
Wishing you good health.
Dr.Matthew J. Mangat.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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