Abstract

Twenty-six hospitalized females were evaluated prospectively for acute urinary retention. They could be divided into three etiologic groups: 1) transient; 2) neuropathic; and 3) pelvic causes. An initial division into the first two categories could be obtained in 21 patients by the history, physical examination and urine cultures, sparing further unnecessary testing. The rest were evaluated by pelvic sonogram, and unexpected potentially life-threatening pathology was found in 4 patients. An algorithm for the evaluation and treatment of acute urinary retention in females is presented.

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