Anyone can experience urinary retention, but it is most common in men in their fifties and sixties because of prostate enlargement. A woman may experience urinary retention if her bladder sags or moves out of the normal position, a condition called cystocele. The bladder can also sag or be pulled out of position by a sagging of the lower part of the colon, a condition called rectocele. Some people have urinary retention from rectoceles. People of all ages and both sexes can have nerve disease or nerve damage that interferes with bladder function.
Source : http://kidney.niddk.nih.gov/kudiseases/pubs/UrinaryRetention/
NURSING DIAGNOSIS: Urinary retention
- stasis of urine in the kidney and bladder associated with prolonged horizontal positioning;
- difficulty urinating associated with anxiety regarding use of bedpan or urinal;
- incomplete bladder emptying associated with:
- horizontal positioning (the gravity needed for complete bladder emptying is lost)
- decreased bladder muscle tone resulting from the generalized loss of muscle tone that occurs with prolonged immobility.
The client will not experience urinary retention as evidenced by:
- voiding at normal intervals
- no reports of bladder fullness and suprapubic discomfort
- absence of bladder distention and dribbling of urine
- balanced intake and output.