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    Urinary Retention, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Urinary Retention, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Urinary Retention, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook114 pages1 hour

    Urinary Retention, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Urinary retention is the medical disorder of inability to empty the bladder completely.
    Acute urinary retention (AUR) happens suddenly and lasts only a short time.
    People with acute urinary retention cannot pass urine at all, even though they have a full bladder.
    Acute urinary retention, a potentially life-threatening medical disorder, needs instant emergency treatment.
    Acute urinary retention can produce great discomfort or pain.
    Chronic urinary retention can be a long-lasting medical disorder.
    People with chronic urinary retention can still pass urine.
    But they do not entirely empty all of the urine from their bladders
    Urinary retention can occur from
    1. Retention of the urethra such as enlarged prostate, urethral stricture, urinary tract stones, cystocele, rectocele, constipation, and certain tumors and cancers
    2. Nerve problems
    3. Medications
    4. Weakened bladder muscles
    If the nerves are injured, the brain may not get the nerve signal that the bladder is full.
    Even when a person has a full bladder, the bladder muscles that press the urine out may not get the nerve signal to push, or the sphincters may not get the nerve signal to relax.
    People of all ages can have nerve problems that disrupt bladder function.
    1. Vaginal childbirth
    2. Brain or spinal cord infections or injuries
    3. Diabetes
    4. Stroke
    5. Multiple sclerosis
    6. Pelvic injury or trauma
    Different types of medicines can produce urinary retention by disrupting nerve signals to the bladder and prostate such as antihistamine, antidepressant
    Weakened bladder muscles may not tighten strongly enough or long enough to empty the bladder completely, leading to urinary retention.
    The symptoms of acute urinary retention may be:
    1. Inability to urinate
    2. Painful, urgent need to urinate
    3. Pain or discomfort in the lower abdomen
    4. Bloating of the lower abdomen
    Diagnosis is by:
    1. Cystoscopy
    2. Urodynamic tests
    3. Electromyography of bladder
    Treatment is by:
    1. Instant catheterization
    2. Urethral dilation and stents
    3. Prostate medicines and surgery.
    4. An internal urethrotomy
    5. Cystocele or rectocele repair
    6. Tumor and cancer surgery
    TABLE OF CONTENT
    Introduction
    Chapter 1 Urinary Retention
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment
    Chapter 6 Prognosis
    Chapter 7 Dysuria
    Chapter 8 Urine Incontinence
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateJan 21, 2017
    ISBN9781370185054
    Urinary Retention, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Urinary Retention, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Urinary Retention,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Urinary Retention, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Urinary Retention)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Urinary retention

      What is urinary retention?

      Urinary retention is the medical disorder of inability to empty the bladder completely.

      Urinary retention can be acute or chronic.

      Acute urinary retention (AUR) happens suddenly and lasts only a short time.

      People with acute urinary retention cannot pass urine at all, even though they have a full bladder.

      Acute urinary retention, a potentially life-threatening medical disorder, needs instant emergency treatment.

      Acute urinary retention can produce great discomfort or pain.

      Chronic urinary retention can be a long-lasting medical disorder.

      People with chronic urinary retention can still pass urine.

      But they do not entirely empty all of the urine from their bladders.

      Often people do not even know they have this disorder until they develop another problem, such as urinary incontinence—loss of bladder control, leading to the accidental loss of urine—or a urinary tract infection (UTI), a sickness produced by harmful bacteria growing in the urinary tract.

      Bladder

      The bladder, sited in the pelvis between the pelvic bones, is a hollow, muscular, spherical-shaped organ that enlarges as it fills with urine.

      Even though a person does not control kidney function, a person does regulate when the bladder empties.

      Bladder emptying is termed urination.

      The bladder retains the urine until the person finds a proper time and place to urinate.

      A normal bladder works like a storage and can hold 1.5 to 2 cups of urine.

      How frequently a person requires to urinate is dependent on how fast the kidneys form the urine that fills the bladder.

      The muscles of the bladder wall stayed relaxed while the bladder fills with urine.

      As the bladder fills to capacity, nerve signals sent to the brain tell a person to find a toilet soon.

      While urinating, the bladder empties through the urethra, sited at the bottom of the bladder.

      There are 3 sets of muscles working together like a dam, keeping urine in the bladder.

      1. The first set is the muscles of the urethra itself.

      The region where the urethra

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