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Urinary Retention in Men

WHAT YOU SHOULD KNOW

When you can't empty your bladder completely during urination, the condition is known medically as urinary retention. Men with this problem may be able to pass only small amounts of urine or none at all.

Causes

Urinary retention develops when the duct that drains the bladder (the urethra) becomes blocked--often by an enlarged prostate gland. The condition may also be caused by certain medicines, an infection, an injury, or bladder stones.

Signs/Symptoms

The condition is characterized by frequent, strong urges to urinate accompanied by an inability to actually pass very much urine. There may be dribbling or leakage during the day and while you are asleep. You may need to push in order to start urination.

Treatment

The doctor will have your urine tested, and may examine your bladder through a tube threaded up the urethra. To keep the bladder drained, the doctor may insert a soft tube called a catheter. There are also various medicines that can reduce the blockage and encourage urination.

Risks

Left untreated, this condition can lead to urinary tract infections and serious kidney problems.

WHAT YOU SHOULD DO

  • Do not let your bladder get too full. Urinate as much as you can whenever you feel the urge.
  • If your doctor has installed a catheter, do NOT pull on it or try to remove it yourself. Keep the urine bag attached to the catheter below the level of your bladder.
  • Drink enough water to keep your urine clear or pale yellow. This helps keep the catheter from clogging.

Call Your Doctor If...

  • Your symptoms return or get worse.
  • Your urine becomes cloudy and foul smelling, or you experience pain or burning when you pass urine. These are signs of infection.
  • You have a high temperature.
  • Your catheter comes out, or you have redness, pain, blood, or drainage where the catheter enters the penis. These are signs of infection or irritation.

Seek Care Immediately If...

  • You cannot pass any urine or, if you have a catheter, no urine is filling the bag.
  • You have fresh blood or clots in your urine.
  • You develop an extremely high temperature

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