Urinary retention protocol algorithm 2026

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  1. Click ‘Get Form’ to open the urinary retention protocol algorithm in the editor.
  2. Begin by reviewing the indications and symptoms section. Ensure you understand the criteria for bladder palpability, discomfort, and voiding times.
  3. In the interventions section, assist the patient to void and check Post Void Residual (PVR) using a bladder scanner. Document this action directly in the form.
  4. If PVR is 400 mls or more, document your findings and reassess as needed. If less than 400 mls with symptoms, proceed to further evaluation.
  5. For patients unable to void after an In and Out catheterization, repeat the bladder scan and assess their history for any urological issues before deciding on further actions.
  6. If necessary, call the MD based on your assessment and document all actions taken throughout this process.

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Draining the bladder If you have chronic urinary retention, your health care professional will first try to diagnose and treat the cause of your retention. However, your health care professional may need to use a catheter to drain the from your bladder if the retention continues or becomes severe.
Check if its a urinary tract infection (UTI) needing to pee more often than usual during the night (nocturia) needing to pee suddenly or more urgently than usual. pee that looks cloudy. blood in your pee.
Urinary retention treatment and management The National Institute for Health and Care Excellence (NICE) recommends that men with acute urinary retention should be immediately catheterised. An alpha-blocker should be offered before removal of the catheter 8 .
Long-term solutions for chronic retention include a variety of surgeries, with transurethral prostatectomy as the gold standard.
With acute urinary retention, a health care professional will immediately drain the from your bladder using a catheter. Removing the from the bladder eases your pain and helps prevent your bladder and kidneys from being damaged.

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Acute urinary retention can be life threatening. If you have any of the other symptoms of urinary retention, such as trouble urinating, frequent urination, or leaking , talk with your health care professional about your symptoms and possible treatments. Chronic urinary retention can cause serious health problems.

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