Acute urinary retention is uncommon in children but constitutes a genitourinary emergency. The etiology in children differs from adults and has been infrequently studied. The Emory University authors identified 53 children who presented at 1 of 2 children’s hospitals in Atlanta, Georgia, from 1993–2000. Patients were included if they were unable to empty their bladders volitionally for greater than 12 hours with a volume of urine greater than expected for age ([age in years +2] × 30cc) or if they had a palpably distended bladder.
AC URIN RETENTION QT
Urinalysis and urine culture had no abnormalities. During the anamnesis, the diagnosis of constipation was considered and a plain abdominal radiography was performed, which identified large amount of feces throughout the colon (fecal retention). An enema with a 12% glycerin solution was prescribed for three days. During follow-up, the child used laxatives and dietary modifications, this contributed to the resolution of the constipation. There were no other episodes of urinary retention after 6 months of follow-up.
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most common causes of acute urinary retention in decreasing order of frequency: neurological disorders (17%), severe voiding disorders (15%), urinary tract infections (13%), constipation (13%), and side effects of medications (13%). Additionally, 2% of patients showed an association of urinary tract infection and constipation as cause of acute urinary retention, thus comprising 15% of frequency for each of these entities. The boys were more affected than girls, and the mean age in the respective genders was 5 and 4 year
acute urinary retention is a rare event in the pediatric age group. Therefore, although it is not one of the most common causes, intestinal constipation, given its high prevalence, should be considered when treating children and adolescents with acute urinary retention.
AC URIN RETENTION QT
Urinalysis and urine culture had no abnormalities. During the anamnesis, the diagnosis of constipation was considered and a plain abdominal radiography was performed, which identified large amount of feces throughout the colon (fecal retention). An enema with a 12% glycerin solution was prescribed for three days. During follow-up, the child used laxatives and dietary modifications, this contributed to the resolution of the constipation. There were no other episodes of urinary retention after 6 months of follow-up.
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most common causes of acute urinary retention in decreasing order of frequency: neurological disorders (17%), severe voiding disorders (15%), urinary tract infections (13%), constipation (13%), and side effects of medications (13%). Additionally, 2% of patients showed an association of urinary tract infection and constipation as cause of acute urinary retention, thus comprising 15% of frequency for each of these entities. The boys were more affected than girls, and the mean age in the respective genders was 5 and 4 year
acute urinary retention is a rare event in the pediatric age group. Therefore, although it is not one of the most common causes, intestinal constipation, given its high prevalence, should be considered when treating children and adolescents with acute urinary retention.
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