Urine retention is the inability to empty the bladder completely, leading to discomfort, frequent urination, and possible complications like infections or kidney damage. It can be acute (sudden and severe) or chronic (gradual and persistent). Under the expertise of Dr. Pruthvi Raj Honnaiah, patients receive comprehensive evaluation and advanced treatments for effective bladder function restoration.

Causes of Urine Retention

The following are the main causes of urine retention:

• Obstructive Causes (Blockage in Urinary Flow):
  • Benign Prostatic Hyperplasia (BPH): Enlarged prostate compressing the urethra, restricting urine flow.
  • Urethral Strictures: Narrowing of the urethra due to scar tissue or injury.
  • Bladder Stones: Large stones obstructing urine passage.
  • Bladder or Prostate Cancer: Tumors compressing or blocking the urinary tract.
• Neurological Causes (Nerve-Related Dysfunction):
  • Neurogenic Bladder: Nerve damage due to spinal cord injury, diabetes, multiple sclerosis (MS), or stroke.
  • Pudendal or Pelvic Nerve Dysfunction: Impaired communication between the bladder and the brain.
• Medication & Lifestyle-Related Causes:
  • Certain Medications: Antihistamines, decongestants, and opioids can weaken bladder contractions.
  • Post-Surgery Complications: Anesthesia or prolonged catheter use may cause temporary retention.

Symptoms of Urine Retention

Symptoms of urine retention include:

• Difficulty initiating urination.
• Weak or intermittent urine stream.
• Feeling of incomplete bladder emptying.
• Frequent urination with minimal output.
• Lower abdominal discomfort or distension.
• In severe cases, complete inability to urinate (acute retention), requiring emergency care.

Diagnosis & Evaluation

Dr. Pruthvi Raj Honnaiah utilizes advanced diagnostic tools to determine the underlying cause:

• Ultrasound & Post-Void Residual (PVR) Test: Measures urine remaining in the bladder after urination.
• Uroflowmetry: Assesses urine flow rate and bladder function.
• Cystoscopy: A minimally invasive procedure to visualize the urethra and bladder.
• MRI & CT Scan: For evaluating nerve-related or tumor-related causes.

Treatment Options for Urine Retention

The treatment approach for urine retention includes:

• Medications:
  • Alpha-Blockers (e.g., Tamsulosin): Help relax the prostate and bladder muscles.
  • 5-Alpha Reductase Inhibitors: Used for BPH-related retention.
  • Cholinergic Medications: Improve bladder contractions in neurogenic bladder cases.
• Minimally Invasive Procedures:
  • Catheterization: Immediate relief in acute retention cases.
  • Bladder Training & Pelvic Therapy: Helps improve voluntary urination in neurogenic bladder patients.
  • Urethral Dilation: Widening of narrowed urethra in strictures.
• Surgical Interventions:
  • TURP (Transurethral Resection of the Prostate): Removes excess prostate tissue in BPH cases.
  • Urethroplasty: Corrects severe urethral strictures.
  • Bladder Augmentation Surgery: Used for neurogenic bladder conditions.
  • Prostate Surgery or Tumor Removal: If retention is due to cancerous growths.

Why Choose Dr. Pruthvi Raj Honnaiah for Urine Retention Treatment?

With expertise in urology, endourology, and minimally invasive treatments, Dr. Pruthvi Raj Honnaiah offers precise diagnosis and effective treatment for urine retention. His patient-focused approach ensures symptom relief, restored bladder function, and improved quality of life.