Urinary Retention

What is urinary retention?

Urinary retention is the condition that leaves a person unable to completely empty their bladder when urinating. There are two types: acute, which is typically more severe and happens suddenly, and chronic, which occurs long term. Struggling with a bladder function disorder can be uncomfortable and embarrassing, but you’re not alone. Many people discuss their struggles with urinary incontinence, but urinary retention can also be a problem.

Symptoms of urinary retention include:

  • Feeling the urge to urinate but can't
  • Weak urine flow
  • Feeling the need to urinate again immediately after urination
  • Bladder leakage

Causes of urinary retention

The following may lead to urinary retention:

  • Urethral blockage
  • Medication (including antihistamines and anti-depressants) side effects
  • Nerve damage from stroke, MS, diabetes or pelvic/spinal trauma
  • Infections such as UTIs and STIs
  • Urethral stricture (or scar tissue inside the urethra)

Diagnosis and testing for urinary retention

A healthcare provider will perform tests to confirm a diagnosis. These tests may include a physical exam, bladder ultrasound, cystoscopy and/or urodynamic testing. For acute urinary retention, a catheter is used to drain the bladder.

The following options may be used to address chronic urinary retention:

  • Surgery: Both open and minimally invasive procedures can remove scar tissue or repair damaged reproductive organs.
  • Pelvic floor therapy: In the case of pelvic prolapse, pelvic floor therapy can help strengthen muscles and regain bladder control.
  • Vaginal pessary: Like pelvic floor therapy, this insert supports pelvic muscles to help control bladder function.

Urinary retention treatment options

For acute urinary retention, a catheter is used to drain the bladder.

The following options may be used to address chronic urinary retention:

  • Surgery: Both open and minimally invasive procedures can remove scar tissue or repair damaged reproductive organs.
  • Pelvic floor therapy: In the case of pelvic prolapse, pelvic floor therapy can help strengthen muscles and regain bladder control.
  • Vaginal pessary: Like pelvic floor therapy, this insert supports pelvic muscles to help control bladder function.

Next steps for patient

If you’d like to meet with a provider and find the best care options, it’s time to reach out to Main Line Health. Schedule a visit with a specialist today.
Call 1.866.CALL.MLH (1.866.225.5654) 

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