Urinary retention can be an very painful condition with numerous causes. Test your knowledge with a couple of cases!
Reviewed by: awaiting review
Stem 1, question 1 of 5
Munya, a 67 year old man, presents to A&E, accompanied by his husband, in urinary retention
Which of the following will not cause urinary retention by obstructing the urethra?
Benign prostatic hyperplasia
Stem 1, question 2 of 5Munya is found to be in urinary retention due to an obstruction of his urethra. Which of the following is an expected blood result due to this condition?
A low haemoglobin count
Decreased glomerular filtration rate
Increased glomerular filtration rate
A high haemoglobin count
Stem 2, question 3 of 5Munya is diagnosed with benign prostatic hyperplasia (BPH), which of the following is not a voiding symptom?
Stem 1, question 4 of 5What conservative management is available for benign prostatic hyperplasia?
Pelvic floor exercises
Monitoring and observation
Treatment of diarrhoea
Stem 1, question 5 of 5Munya asks if there is any medications he can take to treat his BPH. Which of the following is not a medication for BPH?
Stem 2, question 1 of 3
Jing, an 87 year old female with Alzheimer's disease, presents with recurrent episodes of urinary retention to her GP accompanied by her husband Ronny.
How does Alzheimer's disease cause urinary retention?
Loss of dopamine and resulting interruption of signals from the brain mean the bladder does not receive the signal to expel urine
Increasing age means the detrusor muscle is weakened
There is a narrowing or closure of the urethra
The detrusor muscle fails to function properly due to interruption of higher brain signals leading to urinary retention and obstructive uropathy
The bladder bulges into the vagina and results in urinary retention
Stem 2, question 2 of 3Jing has previously had a cystocele, which of the following is not a risk factor for cystocele formation?
Repetitive straining for bowel movements
Stem 2, question 3 of 3Ronny asks what he can do to support Jing and help prevent her going into urinary retention again, what would be the most appropriate advice to give him?
Encourage Jing to wear pads
Give Ronny a leaflet on a permeant catherisation and ask him to discuss it with Jing
Limit Jing's fluid intake
Ask Jing at regular intervals if she needs to urinate
Teach Jing to do pelvic floor exercises