Urinary Retention in Women

Konstantinos N. Stamatiou, Mohamed Elnagar


The pathophysiology and epidemiology of urinary retention in women is not well documented. According to the current knowledge the aetiology of this condition appears to be multifactorial. Implicating factors vary and often coexist. They are mainly distinguished in infective, neoplastic, pharma-cological, neurological, anatomical, myopathic, functional and psychogenic. Initial management includes bladder drainage if urinary retention is acute or if it is chronic accompanied by obstructive uropathy, infection or pain. Investigations should be initially focused on identifying actual complications and secondly the underlying aetiology.

Η παθοφυσιολογία και η επιδημιολογία της επίσχεσης των ούρων στη γυναίκα δεν είναι επαρκώς τεκμηριωμένες. Σύμφωνα με τα μέχρι τώρα γνωστά, η αιτιολογία αυτής της οντότητας φαίνεται πως είναι πολυπαραγοντική. Οι παράγοντες που εμπλέκονται ποικίλλουν και ενίοτε συνυπάρχουν. Διακρίνονται κυρίως σε λοιμώδεις, νεοπλασματικούς, φαρμακολογικούς, νευρολογικούς, ανατομικούς, λειτουργικούς, μυοπαθητικούς και ψυχογενείς. Εάν η επίσχεση των ούρων είναι οξεία ή χρόνια που συνοδεύεται από αποφρακτική ουροπάθεια, λοίμωξη ή πόνο, τότε η αρχική αντιμετώπιση της των ούρων στη γυναίκα περιλαμβάνει την κένωση της ουροδόχου κύστης. Η διερεύνηση θα πρέπει αρχικά να εστιάζει στον εντοπισμό των επικίνδυνων επιπλοκών και έπειτα
στην υποκείμενη αιτιολογία.





Urinary retention; women;Επίσχεση ούρων; γυναίκα;

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DOI: http://dx.doi.org/10.19264/hj.v26i2.60