after a recent operation i now find myself with a catheter, what could be the causes and remedy's. I have never had this trouble before.
What causes urinary retention?
Urinary retention usually occurs as men get older. The following are diseases and conditions that may cause or increase your risk of having urinary retention:
* Obstruction problems: The following conditions and diseases may cause blockages in the urinary system:
o Benign prostatic hyperplasia: Benign prostatic hyperplasia, also called BPH, is a condition where the prostate becomes enlarged. An enlarged prostate can squeeze the urethra and block urine flow making it harder to urinate. BPH is not a type of cancer.
o Bladder stones: Bladder stones may grow so big that they block urine flow. This can be at any point in the urinary system, such as in the urethra.
o Cancer: Tumors of the bladder or the prostate may cause an obstruction at any place in the urinary system as they increase in size. Common cancers that may cause urinary retention include cancer of the bladder and of the prostate.
o Foreign bodies: Foreign bodies are objects that are not normally found in the urinary system. A foreign body is an object, such as a bead, that has been put into the urethra and has become stuck.
o Strictures: Strictures are where a muscular tube, such as the urethra, becomes narrowed and may not allow urine to fully pass out of the body.
* Bladder Diverticula: Bladder diverticula are where diverticula (pockets) form in the bladder. When the bladder gets full and empties, urine goes out the urethra, but also fills the pockets in the bladder. After the bladder is emptied, urine from the pockets then fills the bladder. This causes the bladder to never be completely emptied.
* Drinking too much: Drinking too much liquid and alcohol may increase your chance of overfilling your bladder. Alcohol is found in beer, wine, liquor (vodka and whiskey), and other adult drinks.
* Infections: Germs, such as bacteria and viruses, can damage the urinary tract and cause inflammation (swelling).
* Medicines: Certain medicines may cause the bladder muscles to relax or the muscles of the urethra to tighten. These include medicines used in treating depression, colds, or allergies, or the use of general anesthesia (numbing medicine) during surgery.
* Nerve damage: Nerves that send signals to and from the bladder may get damaged due to diseases. These diseases may include diabetes, stroke, spinal cord injuries or infections, and heavy metal poisoning.
How is urinary retention treated?
Treatment for urinary retention aims to restore normal urine flow, relieve symptoms, and prevent serious problems. This is done by treating the cause and controlling the problem. You may have any of the following:
* Catheter: A catheter may be placed into your bladder to help drain your urine.
* Medicines: Depending on the cause of your urinary retention, your caregiver may give you different medicines to treat your symptoms. These medicines may also help prevent further problems. You may have any of the following:
o 5-alpha-reductase inhibitors: These medicines decrease the size of a large prostate gland by stopping the action of 5-alpha reductase. 5-alpha reductase is a protein that makes the prostate gland grow bigger.
o Alpha blockers: These medicines relax the muscles in your prostate and bladder and may help you urinate more easily.
o Antibiotics: Antibiotics may be given to help treat or prevent an infection caused by germs called bacteria.
o Hormone therapy: Hormones (such as testosterone) may cause some cancer cells to grow. Medicine or surgery may be needed to block the testosterone and slow a growing tumor. Sometimes both medicine and surgery are needed. If you need surgery, your testicles may be removed to stop the testosterone.
* Surgery: Sometimes, caregivers may do surgery to remove a blockage so urine can drain from the bladder. A hollow tube, such as a shunt or stent, may also be placed to help widen a narrowed part of your urinary tract. If you have an enlarged prostate, your caregiver may also need to remove your prostate.
* Other procedures: The prostate may be made smaller by using a special ultrasound, transurethral needle ablation (TUNA), or microwave heat treatment. You may also have a laser procedure, called interstitial laser coagulation (ILC), to remove the prostate. Ask your caregiver about these different treatment options for urinary retention.
With treatment, such as medicine and surgery, further problems may be prevented and your quality of life improved.
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