Abstract
Twenty-six hospitalized females were evaluated prospectively for acute urinary retention. They could be divided into three etiologic groups: 1) transient; 2) neuropathic; and 3) pelvic causes. An initial division into the first two categories could be obtained in 21 patients by the history, physical examination and urine cultures, sparing further unnecessary testing. The rest were evaluated by pelvic sonogram, and unexpected potentially life-threatening pathology was found in 4 patients. An algorithm for the evaluation and treatment of acute urinary retention in females is presented.
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Klarskov P, Anderson JT, Asmussen CF, Brenie J, Jensen SK. Acute urinary retention in women: a prospective study of 18 cases.Scand J Urol Nephrol 1987;21:1:29–31
Larson JW, Swenson WM, Utz DC, Steinhilber RM. Psychogenic urinary retention in women.JAMA 1963;184:697–700
Fontanarosa PB, Roush WR. Acute urinary retention.Emer Med Clin NA 1988;6:419–437
Sagar RS, Ahuja N. A case of psychogenic urinary retention.Am J Psych 1988;145:117–607
Patel BR, Rivner MH. Herpes zoster causing acute urinary retention.South Med J 1988;81:929–930
Hemrika DJ, Schutte MF, Bleker OP. Eisberg syndrome: a neurologic basis for acute urinary retention in patients with genital herpes.Obstet Gynecol 1986;68:375–395
Godec CJ. Acute urinary retention in young homosexuals.Urol 1979;14:581
Napolez A, Laugh W. Drug-induced acute urinary retention (letter).Ann Emerg Med 1988;17:1367
Evron S, Magora F, Sadovsky E. Prevention of urinary retention with phenoxybenzamine during epidural morphine.Br Med J Clin Res 1984;288:190
Preminger GM, Steinhart GF, Mandell J, Freid FA, Landes RR. Acute urinary retention in female patients: diagnosis and treatment.J Urol 1983;130:112–313
Nathan AW, Havard CW. Paralytic ileus and urinary retention due to hypothyroidism.Br Med J Clin Res 1982;285:477
Berger Y, Blaivas JG, Oliver L. Urinary dysfunction in transverse myelitis.J Urol 1990;144:103–105
Fides A, Galloway NT, Verma J, McInnes A, Chisholm GD. Sacral reflex latency in acute retention in female patients.Br J Urol 1987;59:311–313
Raz S, Smith RB. External sphincter spasticity syndrome in female patients.J Urol 1976;115:443–446
Garstin WI, Dane TE, Best BG. Leiomyoma of the urinary bladder presenting with acute urinary retention.J Roy Coll Surg Edin 1987;32:106–107
Stovall TG, Muram D, Long DM. Paraurethral cyst as an unusual cause of acute urinary retention: a case report.J Reprod Med 1989;34:423–425
Egley CC, Fox JS. Vaginal myxoma presenting as acute urinary retention.Obstet Gynecol 1989;73 (part 2):883–892
Silva PD, Berberick W. Retroverted impacted gravid uterus with acute urinary retention: report of two cases and a review of the literature.Obstet Gynecol 1986;68:121–123
Schwartz Z, Dgani R, Katz Z, Lancet M. Urinary retention caused by impaction of leiomyoma in pregnancy.Acta Obstet Gynecol Scand 1986;65:525–526
Hansen JH, Asmussen M. Acute urinary retention in first trimester of pregnancy.Acta Obstet Gynecol Scand 1985;64:279–280
Nelson MS. Acute urinary retention secondary to an incarcerated gravid uterus.Am J Emeg Med 1986;4:231–232
Kingsnorth AN. Urinary retention due to ovarian cyst.Br J Urol 1984;56:439–440
Bosio M, Ballerini G, Cattaneo A. Acute urinary retention: a rare onset sign of ovarian cystic teratoma.Int J Pediatr Nephrol 1983;4:263–265
Pansini L, Torricelli M, Gomarasca A, Brambilla C, Beolochi S. Acute urinary retention due to didelphys uterus associated with an obstructed hemivagina in a 5-month-old infant.J Pediatr Surg 1988;23:984–985
Stovall TG, Muram D, Long DM. Paraurethral cyst as an unusual cause of acute urinary retention, a case report.J Reprod Med 1989;34:423–425
Livne PM, Kaplan B, Ovadia Y, Servadio C. Prevention of posthysterectomy urinary retention by alpha-adrenergic blocker.Acta Obstet Gynecol Scand 1983;62:337–340
Smith NK, Morrant JD. Postoperative urinary retention in women: management by intermittent catheterization.Age Ageing 1990;19:337–340
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Barone, J.G., Berger, Y. Acute urinary retention in females. Int Urogynecol J 4, 152–156 (1993). https://doi.org/10.1007/BF00571624
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DOI: https://doi.org/10.1007/BF00571624