Wednesday, August 17, 2016

Chronic Retention bladder 1

Chronic Retention
      This is a slow progress retention and is painless. The residual urine after micturation is over 300cc. These patients have the risk of back pressure effects on the kidney and bladder.

            Back Pressure effects Kideny
            -     dilated kreter
            -     dilated renal pelvis
            -     raised Blood urea
            -     raised serum creatnine

            Back Pressure effects on bladder
            -     Thick wall of bladder
            -     Diverticula of bladder
            -     Urine reflux into ureter
            -     Weak internal spinchter
            -     Overflow (incontiniouce)

These patient require urgent prostatectomy

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