Inability to pass urine (urinary retention)

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Inability to pass urine (urinary retention)
INABILITY TO PASS URINE (URINARY RETENTION)
Inability to pass urine can be due to weakness of the bladder muscle or blockage of the passage running from the bladder to the outside. Weakness of the bladder muscle can arise from damage to or pressure on the nerves of the bladder—the trouble spot could be in the spinal cord or the pelvis. Such nerve damage usually causes loss of feeling in the bladder as well, so that you can't tell when it is full. You may also become unable to empty your bladder properly as a result of certain drugs such as the chemotherapy drug vinblastine, some anti-depressants and some drugs which are used to control diarrhoea or urinary incontinence (inability to hold the urine).
Cancer of the cervix or prostate can block the urinary passage. So can non-cancerous enlargement of the prostate gland. If you »re unable to pass any urine at all naturally, it can be released either by passing a soft plastic tube (catheter) up through the urinary passage from the outside or by inserting a small tube through the skin of the lower part of your abdomen. Either of these can be comfortably done with the help of some local anaesthetic. The catheter may only be needed temporarily while the cause of the problem is tackled. If the cause cannot be corrected, or you decide that the cost of doing so would be greater than the benefit, you might have to keep a catheter permanently in place. This carries a risk of infection, but could still be the best alternative for you.
There are medications which can stimulate the bladder muscle to work better, for example, bethanechol chloride. With or without their help, you may be able to train yourself to empty a partially paralysed bladder naturally, so ask about this if the idea appeals to you.
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