Ishuria is ... Possible causes, treatment of urinary retention

One of the problems associated with the process of urination is urinary retention, or in another way ishuria. This pathological condition can occur in the entire population, but most often it affects men. Persons suffering from such an ailment are unable to completely empty their bladder, or urine comes out by drop and with great difficulty. A person can assume the presence of this disease, if his stomach begins to grow, in the lower abdomen there is discomfort, urge to urinate more often. What causes lead to the development of ishuria, what is it dangerous for men and is it possible to cure it?

Types of the disease

There are different types of urine retention, which occur in different ways. It is acute and chronic (complete and incomplete), and also paradoxical.

Acute ishuria of full form manifests itself unexpectedly. There are painful sensations in the abdomen or bladder, and there is a feeling of overflow of the latter. Attempts to urinate become more frequent. Incomplete form Leads to the release of urine in a very small amount.

Chronic ishuria is a pathology that can be completely asymptomatic for a while, but as it develops, it begins to manifest itself more and more, reminding oneself. The full form is characterized by the fact that a person can not carry out the process of urination independently, only a catheter installed in the urethra helps him. With incomplete chronic form, a man is able to empty himself, but not to the end, and part of the urine remains in the bladder.

There is also such a variety as paradoxical ishuria. It is characterized by the fact that The bladder begins to stretch very strongly, there is an atony and an excessive increase in sphincters, which is why a man can not go to the toilet himself. That is why paradoxical ishuria leads to the fact that urine starts to drip out from the urethra.

Causes of acute ishuria

The retention of urine, taking place in an acute form, occurs suddenly. Basically, it is a complication of prostate adenoma. With the growth of this benign tumor passing through the prostate site of the urethra begins to vary: stretched in length and curved. This leads to the fact that urine begins to linger in the urethra, and its outflow is carried out with great difficulty. Adenoma of the prostate leads to edema of the gland itself and an increase in its size, which also contributes to the emergence of acute ishuria.

In addition, the following events lead to the formation of pathology:

• Trauma of the spinal cord or brain;
• Operation on the spine or organs of the abdominal cavity, as a result of which the patient is prescribed a prolonged bed rest;
• Strong alcohol intoxication;
• Hypothermia of the body;
• Forced retention of the act of urination;
• multiple sclerosis;
• An overdose of sleeping pills;
• Poisoning with narcotic substances;
• Physical stress and stress;
• The penetration of blood clots into the bladder in a man.

Causes of chronic ishuria

This form of urine retention is formed as a result of the following pathological factors:

• Injuries or damage to the urethra or bladder.
• Blockage of the organs responsible for excretion of urine. The channel lumen can be closed as a result of a stone or other foreign body that has fallen into it. Clogged usually either a vesicourethral segment, or the urethra itself. In the first case, this can occur because of a malignant tumor of the bladder, polyp or congenital disruption of the patency of the segment. In the second case, a blockage occurs due to the protrusion of one of the walls of the bladder or the narrowing of the urethral lumen.
• Squeezing of the bladder. It is caused by pathologies of the genital organs, such as prostatitis, balanoposthitis, cancer, phimosis, sclerosis of the prostate. The bladder in a man can be squeezed and because of the pathology of the organs in the small pelvis. These include pathology of the perineum, a hernia in the groin, cancer of the rectum, aneurysm of the hypogastric arteries.

In addition, the chronic form appears in diseases of the central nervous system, for example, neurogenic dysfunction of the bladder. In this case, a spasmodic suture occurs, in which this organ contracts, and the urethral sphincter relaxes involuntarily.

Diagnostics

If you find at least one of these symptoms, you should immediately call a doctor who will conduct the necessary studies and put the correct diagnosis.

First, the specialist studies the history of the disease and complaints, as well as the lifestyle of the patient. After this, the doctor examines the patient, probing the enlarged bladder in the lower abdomen. This method of diagnosis makes it possible to distinguish between ishuria and anuria, in which there is no urination at all.

The patient should submit a general blood test, which allows to determine the signs of the inflammatory process, and due to the general analysis of urine, they reveal pathological changes in the kidney and bladder.

Biochemical blood test determines whether there are any violations in the work of the kidneys.

Ultrasound examination of the abdominal cavity, conducted after the patient urinates, allows you to measure the amount of urine that remains in the bladder after performing urination.

How is the Ishury treated?

This disease is treated most often by the method of catheterization. The essence of this procedure is as follows: in the bladder, a special metal catheter is inserted through the urethra, which helps the urine out of this organ. There are these adaptations and rubber. At the end of the catheter there is a bend resembling a beak, allowing it to pass better to the bladder. It can be in the body of a man from one day to two weeks. After the onset of improvement, a person begins to urinate normally without any delay. For greater effect, the doctor can simultaneously assign this procedure to alpha-blockers, which treat prostate adenoma.

In addition, the urine can be removed from the bladder by means of a capillary puncture. In this case, the patient under general anesthesia is injected with a long needle 1.5 cm above the pubis and 5 cm in depth. The outer end of the needle should have a soft tube. This tool should get into the bladder to help urine flow out of it through the tube. Once the organ is free of urine, the needle is removed. This procedure is performed several times a day.

Complications

In the absence of timely diagnosis and treatment of ishuria, the following complications may occur:

• Kidney failure;
• Pyelonephritis;
• cystitis;
• Macrohematuria;
• Formation of stones.

Conclusion

Thus, now it became clear what is ishuria. This is the retention of urine, taking place in acute and chronic form. It is necessary to diagnose the disease in time and to treat it in time. Doctors for this should choose the most suitable way, so that later the man had no problems with urination.