BPH: A Growing Problem
Professional Reference articles are designed for health professionals to use. You may find the Urinary Retention article more useful, or one of our other health articles.
Urinary retention describes a bladder that does not empty completely or does not empty at all. Some patients with chronic urinary retention do not have any symptoms.
Other patients with chronic urinary retention BPH und Urin be able to urinate but experience lower urinary tract symptoms LUTSrelated to storage and voiding difficulties. This is in contrast to BPH und Urin urinary retention, a medical emergency, which is painful and the patient is unable to urinate despite a full bladder. Chronic urinary retention, whilst not immediately life-threatening, can lead to hydronephrosis and renal impairment and puts the patient at risk of acute-on-chronic retention, so requires diagnosis and treatment.
The symptoms, if any are present, usually come on slowly and may not be noticed due to their gradual evolution. The more common ones are listed below:. A vast range of conditions can cause chronic urinary retention, most commonly via preventing bladder outflow see above. Additional causes of impaired emptying of the bladder are due to dysfunction of the bladder muscle or its innervation.
In BPH, the general trend is for symptoms to worsen over time. However, this is not true in all patients. In the placebo arm of the MTOPS the Medical Therapy of Prostatic Symptoms study, the rate of overall clinical progression as measured by such factors as incidence of acute urinary BPH und Urin, urinary incontinence, renal insufficiency or recurrent urinary tract infection was BJU Int. Epub Mar Drug Saf.
Curr Urol Rep. Part diagnosis. Rev Urol. J Urol. Epub May Int Urol Nephrol. Emberton M, Cornel EB, Bassi PF, et al ; Benign prostatic hyperplasia as a progressive disease: a guide to the risk factors and options for medical management. Int J Clin Pract. Epub May 8. Disclaimer: This article is BPH und Urin information only and should not be used for the diagnosis or treatment of medical conditions.
Aetiology The most usual cause of chronic urinary retention is bladder outlet obstruction. Neurological causes Spinal cord injury. Pelvic surgery. Pelvic and sacral fracture. Herniated disc. Multiple sclerosis. Sensory and autonomic uropathy, most commonly with diabetes. Myogenic failure Most often due to chronic detrusor overdistension. Flu vaccination. Protect BPH und Urin this autumn. Further reading and references. Join the discussion on the forums.
Health Tools Feeling unwell? Assess your symptoms online with our free symptom checker. Start symptom checker.