{"id":3130,"date":"2021-05-28T08:00:00","date_gmt":"2021-05-28T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3130"},"modified":"2026-08-15T00:21:22","modified_gmt":"2026-08-14T17:21:22","slug":"vorubergehender-harnverhalt","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/de\/2021\/05\/28\/transient-urinary-retention\/","title":{"rendered":"Vor\u00fcbergehender Harnverhalt: Verwaltung"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" 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1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Urinary retention is a common complaint at my urology office, affecting millions of people worldwide with increasing prevalence in the elderly. Good news: some causes of urinary retention are reversible. If correctly identified and treated, the retention resolves without further investigation or long-term management. This article focuses on &#8220;Transient Urinary Retention&#8221; \u2014 the reversible form.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Transient Urinary Retention is a reversible condition with sudden onset, present for less than 6 weeks at the time of evaluation. The reversible causes can be recalled using the mnemonic <strong>DIAPPERS<\/strong>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Reversible causes of <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23668444\/\">Transient Urinary Retention<\/a> \u2014 DIAPPERS<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>D<\/strong> \u2014 Delirium<\/li>\n\n\n<li><strong>I<\/strong> \u2014 Infection \u2014 any infection-related illness, especially acute urinary tract infection<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3138\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/05\/28\/transient-urinary-retention\/woman-checking-fever-temperature-of-senior-sick-man-lying-on-bed\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Illness.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS R&quot;,&quot;caption&quot;:&quot;female checking fever temperature of senior man lying on bed. mature husband feeling symptoms of the flu while wife checking fever by touching forehead. at home&quot;,&quot;created_timestamp&quot;:&quot;1604587039&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;800&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;woman checking fever temperature of senior sick man lying on bed&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Any non urinary-related illness can affect urinary function.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Any non urinary-related illness can affect urinary function.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Illness.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Illness.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Illness transient urinary retention\" class=\"wp-image-3138\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Illness.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Illness.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Illness.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Illness.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Illness.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Any non-urinary illness can temporarily impair urinary function.<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A<\/strong> \u2014 Atrophic vaginitis<\/li>\n\n\n<li><strong>P<\/strong> \u2014 Pharmaceuticals:\n\n<ul class=\"wp-block-list\">\n<li>Antihypertensives<\/li>\n\n\n<li>Pain killers \u2014 NSAIDs, opioid derivatives<\/li>\n\n\n<li>Psychotherapeutics \u2014 antidepressants, sedatives<\/li>\n\n\n<li>Alcohol \u2014 increases urine production with impaired nervous system control<\/li>\n\n\n<li>Antihistamines \u2014 inhibit bladder contraction<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"450\" data-attachment-id=\"3139\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/05\/28\/transient-urinary-retention\/pill\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pill.jpg?fit=1200%2C675&amp;ssl=1\" data-orig-size=\"1200,675\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Freepik Company S.L. - www.freepik.com&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Several medications have a negative effect on urinary function.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Several medications have a negative effect on urinary function.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pill.jpg?fit=800%2C450&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pill.jpg?resize=800%2C450&#038;ssl=1\" alt=\"Medications causing urinary retention\" class=\"wp-image-3139\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pill.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pill.jpg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pill.jpg?resize=1024%2C576&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pill.jpg?resize=768%2C432&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Pill.jpg?resize=16%2C9&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Several medications can negatively affect bladder function and cause transient urinary retention.<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>P<\/strong> \u2014 Psychological disorder \u2014 e.g., depression<\/li>\n\n\n<li><strong>E<\/strong> \u2014 Excessive urine output \u2014 e.g., hyperglycemic state (poorly controlled diabetes)<\/li>\n\n\n<li><strong>R<\/strong> \u2014 Reduced mobility \u2014 bedridden patients; hospitalized patients with prolonged bed rest<\/li>\n\n\n<li><strong>S<\/strong> \u2014 Stool impaction \u2014 fecal impaction in the rectum compresses the urethra, causing voiding difficulty<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"3137\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/05\/28\/transient-urinary-retention\/old-man-holding-belly-stomach-ache-hurts-patient\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Constipation.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D810&quot;,&quot;caption&quot;:&quot;Senior Man Holding Belly. Stomach Ache Hurts Elderly Patient. Pancreatitis Symptom. Abdominal Pain in Pensioner. Gastroenterology. Constipation, Unhealthy Food. Old Man Suffering Cramp, Dyspepsia.&quot;,&quot;created_timestamp&quot;:&quot;1523969637&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;125&quot;,&quot;shutter_speed&quot;:&quot;0.003125&quot;,&quot;title&quot;:&quot;Old Man Holding Belly Stomach Ache Hurts Patient.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Constipation is easily correctable cause in transient urinary incontinence.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Constipation is easily correctable cause in transient urinary incontinence. &lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Constipation.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Constipation.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Constipation stool impaction urinary retention\" class=\"wp-image-3137\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Constipation.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Constipation.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Constipation.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Constipation.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/05\/Constipation.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Stool impaction (constipation) is an easily correctable cause of transient urinary retention.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">When a patient presents with urinary retention, all DIAPPERS risk factors are systematically documented and corrected where possible. If the retention resolves after addressing these reversible causes, the diagnosis is Transient Urinary Retention. If retention persists despite correction of all reversible factors, further evaluation is required to identify an underlying structural or neurological cause.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Any questions, feel free to contact me through the social links on this website.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Transient Urinary Retention<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is transient urinary retention and how is it different from chronic retention?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Transient urinary retention is a reversible form of acute urinary retention with sudden onset, present for less than 6 weeks. It is caused by one or more correctable factors (the DIAPPERS causes) rather than an underlying structural problem like BPH or urethral stricture. Once the triggering cause is identified and corrected, the bladder typically resumes normal function. If retention persists beyond 6 weeks or does not resolve after correcting all reversible factors, it is no longer considered transient and requires further urological evaluation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Which medications can cause transient urinary retention?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Several medication classes are known to impair bladder function and cause transient urinary retention: antihypertensives (blood pressure medications), pain killers including NSAIDs and opioid derivatives, psychotherapeutics such as antidepressants and sedative drugs, antihistamines (which inhibit bladder muscle contraction), and alcohol (which increases urine production while impairing the nervous system&#8217;s voiding reflex). If you develop urinary difficulty after starting a new medication, consult your doctor or urologist promptly.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How is transient urinary retention managed?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The primary approach is identifying and correcting the underlying reversible cause using the DIAPPERS framework. This may include treating an active infection, stopping or adjusting causative medications, managing constipation, treating hyperglycemia, or mobilizing a bedridden patient. During the acute retention episode, bladder decompression via urethral catheterization provides immediate relief and allows the bladder to rest. Once the cause is corrected and the bladder recovers, a voiding trial is performed. If successful, catheter removal and monitoring follows.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you or a family member is experiencing urinary retention or difficulty urinating, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is transient urinary retention and how is it different from chronic retention?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Transient urinary retention is reversible, sudden onset, present <6 weeks, caused by correctable DIAPPERS factors. Resolves once triggers are corrected. 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Once cause is corrected and bladder recovers, voiding trial is performed.\"\n      }\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Urinary retention is a common complaint at my urology office, affecting millions of people worldwide with increasing prevalence in the elderly. Good news: some causes of urinary retention are reversible. If correctly identified and treated, the retention resolves without further investigation or long-term management. This article focuses on &#8220;Transient Urinary Retention&#8221; \u2014 the reversible form. [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10106,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Transient urinary retention: reversible causes explained using the DIAPPERS mnemonic, including medications, infection, constipation, and immobility. 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