Non-neurogenic chronic urinary retention (CUR) can be challenging to diagnose and treat because there is no consensus on the criteria that define CUR. Associated with either underactive bladder or chronic outlet obstruction, the condition is important because CUR can be associated with hydronephrosis, renal failure, chronic urinary tract infections (UTIs), urinary incontinence, and can lead to a complete inability to void. However, not all patients with CUR necessarily require treatment, and for such patients, interventions can place them at risk for complications. Indwelling and intermittent catheterization can cause UTIs, urethral trauma, and negatively affect quality of life (QOL). Medications and surgical procedures for reducing CUR can likewise cause temporary or permanent harm. Consequently, it is important that clinicians identify patients with CUR at risk for morbidity but not expose all patients with CUR to costly and even potentially harmful interventions.
Urology Physician Brief: Non-Neurogenic Chronic Urinary Retention
This AUA Whitepaper included contributions from U-M Urology's Dr. John Stoffel and Dr. John Wei, Examining Non-Neurogenic Chronic Urinary Retention: Consensus Definition, Management Strategies and Future Opportunities
