Rétention urinaire aiguë chez l'homme : Pourquoi cela m'arrive-t-il ?

Dernière mise à jour : 18 mai 2026

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One of a Urologic emergency condition that we are going to discuss today is an acute urinary retention. The condition is most prevalent and common in male patient rather than the female. So the topic wills mainly focusing on the acute urinary retention in male patients. Typically, it happens in older gentleman who over 60 years and they were the most often group that realized and faced the condition of symptom. The following risks factors below shall have considered while the patients suffering from it;

Facteurs de risque de rétention urinaire

1. Hypertrophie bénigne de la prostate (HBP) - Le facteur de risque le plus courant chez l'homme âgé ne peut être évité ou ignoré. Il s'agit de l'hypertrophie de la prostate. En règle générale, elle se traduit par l'apparition progressive d'un flux urinaire insuffisant chez les hommes de plus de 50 ans. Le traitement approprié par un urologue est capable de minimiser le risque de rétention urinaire dans l'avenir.
2. Urethral stricture – Having history of urethral infection, STDs or Endoscopic urological procedure might induce a urethral scarring process which will makes urethral lumen narrowing and finally obstructed.

3. Urethral stone – A rare condition which is occurred by urinary tract stone occluded inside the urethral lumen and that would need an emergency evacuation.

4. Infections - Infection de la vessie, infection de la prostate ou infection urétrale peuvent provoquer une irritation sévère dans ces zones et, par conséquent, la rétention urinaire aiguë peut persister.

5. Medications – Certain medications can interfere with bladder function. When the causative drug is stopped, acute urinary retention typically resolves.

6. Constipation – Stool compacted in the rectum can compress the urethra and obstruct urinary flow, making constipation a surprisingly common and easily correctable cause of urinary retention.

7. Limited ambulation – The bladder is controlled by the brain, which typically allows voiding in a quiet, standing position. Patients confined to bed often struggle to urinate and can improve simply by being encouraged to walk and stand.

8. Neurological causes – A complicated condition that should be needed more carefully assessment by Urologist.
9. Bladder dysfunction – Another rare bladder condition which cannot contract well and end up with full bladder.

An urgent management which we had always performed is the bladder decompression with urethral catheter or suprapubic tube insertion to release a large amount of the urines from the bladder before it becomes rupture. Then the certain treatment will be depended and done by a well-trained Urologist. Patient must be educated about plan of the treatment and the possibility causes of the retention. A few complications after draining a large volume of urine, such as hematuria, should be explained to the patient in advance to prevent unnecessary alarm.

Si vous avez des questions, n'hésitez pas à vous adresser à moi.

If you or a loved one has experienced acute urinary retention or suspect BPH with worsening urinary symptoms, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. Prendre rendez-vous.

Frequently Asked Questions about Acute Urinary Retention in Men

Avis de non-responsabilité : Ce contenu est rédigé et revu par le Dr Soarawee Weerasopone, urologue certifié au siège de Bangkok Hospital. Il est destiné uniquement à des fins éducatives et ne constitue pas un avis médical. Consultez toujours un professionnel de la santé qualifié avant de commencer tout traitement médical.