INTRODUCTION The emergence of urinary retention (UR), specifically acute urinary retention (AUR), has been a concern when treating men with lower urinary tract symptoms (LUTS) with antimuscarinic drugs. MATERIALS AND METHODS In NEPTUNE (12-week, double-blind), men (≥45 years) with LUTS were randomized to receive tamsulosin oral-controlled absorption system (TOCAS) 0.4 mg, fixed-dose combinati...

Acute urinary retention is a common presentation to the Emergency Department and is often simply treated with placement of a Foley catheter. However, various cases will arise when this will not remedy the retention and more aggressive measures will be needed, particularly if emergent urological consultation is not available. This article will review the causes of urinary obstruction and systema...

Abstract Aim Method Retrospective review of notes patients coded as presenting with urinary retention in the ED between 01/02/2021 – 30/04/2021. Data collected from hospital electronic patient system. Results Total 147 for to retention. 64 removed not applicable. 83 audited: 61 male and 22 female. analysed. A DRE was performed 18% those AUR. The residual volume documented 64%. Tamsulosin starte...

Three cases of acute urinary retention without local urological causes are described. A diagnosis of sacral myeloradiculitis of viral origin appeared more likely than a first episode of multiple sclerosis. The literature is reviewed and a protocol for the investigation of such patients is suggested.

Acute urinary retention (AUR) is more than ten times more common in men than women. In men it tends to occur in the elderly; the risk of AUR is higher in men > 70 years. The causes in men can be divided into precipitated or occurring spontaneously. These can be further divided according to the mechanism i.e. obstructive, neurological and myogenic. Spontaneous AUR, caused by progression of BPH l...