(Disclaimer: This article is for general use only, and the relevant information in the following content has been processed to protect patient privacy)
Abstract: An 82-year-old male presented urgently to our hospital with an inability to urinate, accompanied by painful suffocation in the lower abdomen. After perfecting the examination, the patient was found to have lower abdominal distention with pressure pain, and the preliminary diagnosis was urinary retention. The patient was then urgently catheterized and treated with medication. After one month, the patient’s symptoms of difficulty in urination were basically relieved, and his urinary status improved and his condition improved.
Basic information】Male, 82 years old
Type of disease】Urinary retention
Hospital】Harbin First Hospital
Date of consultation】February 2022
Treatment plan】Urinary catheter placement + oral medication (tamsulosin hydrochloride extended-release capsule)
Treatment period】7 days of indwelling urinary catheter and medication, 1 month of outpatient follow-up
Treatment effect]: Improvement of urinary effort, reduction of urinary frequency and urgency, and improvement of the condition.
I. Initial consultation
The patient was 82 years old, with a painful expression, one hand covering his lower abdomen and the other hand supporting the armrest of the wheelchair, and his family was anxious that the patient could not urinate and had stomach pain. The patient’s abdominal pain was immediately relieved and the bulging stomach disappeared, and the abdominal pain disappeared immediately.
II. Treatment history
Further urological ultrasonography was performed on the patient, and the results showed that the patient had an overfilled bladder with bilateral hydronephrosis and ureteral dilatation, which was considered to be prostatic hyperplasia, so basically the diagnosis of urinary retention due to prostatic hyperplasia was made, and the patient was advised to take oral tamsulosin hydrochloride extended-release capsules for symptomatic treatment at home, and a urinary catheter was left in place and removed in the hospital after 7 days.
III. Treatment effect
The patient came to our outpatient clinic after 7 days to have the urinary catheter removed, and the patient could urinate on his own. During the follow-up period of 1 month, the patient’s symptoms of difficulty in urination were basically relieved, nighttime urination was reduced to 2-3 times, and the patient did not have to worry too much about finding the toilet when going out.
IV. Precautions
We are glad that the patient’s condition has improved, but we still need to advise the patient that tamsulosin hydrochloride extended-release capsules should be taken orally for a long time without interruption. If the residual urine gradually increases or the symptoms of bilateral hydronephrosis do not relieve, or if urinary retention occurs again, the patient is recommended to undergo surgery.
V. Personal insight
The symptoms of straining to urinate, frequent urination, urinary urgency, urinary waiting, and increased nocturia are often in a chronic progression. The patient in this article subjectively thought that it was a natural result of getting old and did not pay attention to it, and only came to the doctor when it appeared that he could not urinate on his own, without knowing that urinary retention caused by prostate enlargement can lead to risks such as urinary tract infection, bladder stones, impaired kidney function, and destruction of bladder function.
Therefore, anyone needs to be aware that once symptoms such as recurrent urinary frequency, urinary urgency, incomplete urination and difficulty in urination occur, it is important to visit the hospital and seek early treatment to reduce the occurrence of related complications.