{"id":1768,"date":"2020-10-21T14:27:35","date_gmt":"2020-10-21T07:27:35","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1768"},"modified":"2026-08-29T06:25:20","modified_gmt":"2026-08-28T23:25:20","slug":"retention-urinaire-chez-lhomme","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/fr\/2020\/10\/21\/male-urinary-retention\/","title":{"rendered":"Acute Urinary Retention in Men: Why Does This Happen?"},"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\/fr\/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=\"has-drop-cap wp-block-paragraph\">Acute urinary retention \u2014 being suddenly unable to pass urine despite a full bladder \u2014 is one of the true urological emergencies. It is far more common in men than in women, which is why this article focuses on men, and it is commonest in those over 60.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If this is happening to you right now:<\/strong> being unable to pass urine while the bladder feels painfully full needs treatment the same day \u2014 <strong>go to an emergency department rather than waiting to see whether it eases<\/strong>. The bladder can only stretch so far, and prolonged over-distension damages both the bladder muscle and, eventually, the kidneys. Draining it is quick and brings immediate relief. In Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1772\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/prostate-cancer-symptoms-a-small-walnut-shaped-gland-in-men-that-produces-the-seminal-fluid-that-nourishes-and-transports-sperm\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/BPH.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 6D&quot;,&quot;caption&quot;:&quot;Prostate cancer symptoms, a small walnut-shaped gland in men that produces the seminal fluid that nourishes and transports sperm&quot;,&quot;created_timestamp&quot;:&quot;1532966856&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;100&quot;,&quot;iso&quot;:&quot;800&quot;,&quot;shutter_speed&quot;:&quot;0.016666666666667&quot;,&quot;title&quot;:&quot;Prostate cancer symptoms, a small walnut-shaped gland in men that produces the seminal fluid that nourishes and transports sperm&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Benign Prostatic Hyperplasia run major cause in Acute Urinary Retention in Male\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Benign Prostatic Hyperplasia run major cause in Acute Urinary Retention in Male&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/BPH.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/BPH.jpg?resize=800%2C533&#038;ssl=1\" alt=\"An enlarged prostate gland compressing the urethra, the commonest cause of acute urinary retention in men\" class=\"wp-image-1772\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/BPH.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/BPH.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/BPH.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/BPH.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/BPH.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Benign prostatic hyperplasia is the leading cause of acute urinary retention in men.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms That Need Attention the Same Day<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Being unable to pass urine at all<\/strong>, with a painful, full lower abdomen.<\/li>\n\n\n<li><strong>Fever or shaking chills<\/strong> alongside difficulty passing urine.<\/li>\n\n\n<li><strong>Passing only small amounts frequently, with constant dribbling.<\/strong> This is easily mistaken for the problem improving, or for ordinary incontinence. It can instead be a full, obstructed bladder overflowing \u2014 the bladder is not emptying at all, and the leakage is the overflow. It needs assessment rather than reassurance.<\/li>\n\n\n<li><strong>New weakness or numbness in the legs, numbness around the buttocks, genitals or inner thighs, or loss of bowel control<\/strong> together with retention. This suggests pressure on the nerves at the base of the spine and is an emergency measured in hours, not days.<\/li>\n\n\n<li><strong>A catheter that stops draining<\/strong>, if you already have one.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">This article explains the causes. If a trigger set off the episode \u2014 and one often does \u2014 the companion article on <a href=\"https:\/\/drsoaraweeurology.com\/2021\/05\/28\/transient-urinary-retention\/\">the reversible causes of sudden inability to pass urine<\/a> covers what happens after the catheter goes in and how the trigger is found.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Causes that block the outflow<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/drsoaraweeurology.com\/2020\/08\/28\/benign-prostate-bph\/\">Benign prostatic hyperplasia (BPH)<\/a><\/strong> \u2014 the commonest cause, and one no ageing man can entirely avoid. The prostate enlarges and compresses the urethra, typically producing a gradually weakening stream from the age of 50 onwards. Treating BPH properly reduces the risk of ending up in retention later; the <a href=\"https:\/\/drsoaraweeurology.com\/2021\/06\/04\/bph-dual-therapies\/\">two classes of prostate medication<\/a> and the procedural options are covered separately.<\/li>\n\n\n<li><strong><a href=\"https:\/\/drsoaraweeurology.com\/2021\/05\/14\/urethral-stricture-narrow-urethra\/\">Urethral stricture<\/a><\/strong> \u2014 a previous urethral infection, sexually transmitted infection or endoscopic urological procedure can leave scar tissue that narrows the urethral lumen until it obstructs.<\/li>\n\n\n<li><strong>Urethral stone<\/strong> \u2014 uncommon, but a stone lodged in the urethra blocks it completely and needs emergency removal.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1777\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/gallstones-after-removal-of-the-gallbladder-on-white-gauze-lithotripsy\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Urethral-stone.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;10&quot;,&quot;credit&quot;:&quot;LESOVYA IRINA&quot;,&quot;camera&quot;:&quot;NIKON D5600&quot;,&quot;caption&quot;:&quot;Gallbladder stones after ESWL intervention. Lithotripsy.&quot;,&quot;created_timestamp&quot;:&quot;1593527492&quot;,&quot;copyright&quot;:&quot;LESOVYA IRINA&quot;,&quot;focal_length&quot;:&quot;55&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Gallstones after removal of the gallbladder on white gauze. Lithotripsy.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Urethral stone is one of Acute urinary retention causes\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Urethral stone is one of Acute urinary retention causes&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Urethral-stone.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Urethral-stone.jpg?resize=800%2C533&#038;ssl=1\" alt=\"A urinary stone lodged in the urethra, an uncommon cause of acute urinary retention\" class=\"wp-image-1777\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Urethral-stone.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Urethral-stone.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Urethral-stone.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Urethral-stone.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Urethral-stone.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">A stone lodged in the urethra blocks the outflow completely.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Causes that stop the bladder emptying<\/h4>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li><strong>Medications.<\/strong> Several drug classes impair bladder contraction or increase resistance at the outlet. <strong>The one worth knowing about above all others is the decongestant in ordinary cold and flu remedies<\/strong> \u2014 pseudoephedrine or phenylephrine \u2014 because it tightens the bladder outlet, it is bought without a prescription, and in a man with an enlarged prostate it is a classic cause of a first episode of retention. The older sedating antihistamines in the same remedies add to the effect. Also implicated: anticholinergic drugs (including some bladder medicines for an overactive bladder, and some anti-nausea and Parkinson\u2019s medicines), tricyclic antidepressants, opioid painkillers, general anaesthesia, and a heavy episode of drinking. When the responsible drug is stopped, the retention often resolves on its own. <strong>Do not stop a prescribed medicine on your own<\/strong> \u2014 tell the doctor treating you everything you take, including anything bought over the counter, and let them decide.<\/li>\n\n\n<li><strong>Neurological causes<\/strong> \u2014 the nerve supply to the bladder can be disrupted at several levels. These cases are more complex and need careful urological assessment. Retention accompanied by numbness around the groin, buttocks or inner thighs, new weakness in the legs, or loss of bowel control is a different and far more urgent problem, and needs emergency assessment within hours.<\/li>\n\n\n<li><strong>Bladder dysfunction<\/strong> \u2014 the bladder muscle itself contracts poorly and simply fails to empty. This matters more than its position on the list suggests, because <strong>an underactive bladder produces almost the same picture as an obstructed outlet<\/strong>, and operating on the prostate of a man whose bladder is the real problem does not help him. The distinction is made with <a href=\"https:\/\/drsoaraweeurology.com\/2023\/04\/23\/uroflowmetry\/\">flow testing<\/a>, <a href=\"https:\/\/drsoaraweeurology.com\/2021\/09\/10\/residual-urine-why-we-measure\/\">residual urine measurement<\/a> and, where it matters, pressure studies.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1773\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/medication\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Medication.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;13&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1579452475&quot;,&quot;copyright&quot;:&quot;Freepik.com&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;250&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Some tablets cause inability to void\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Some tablets cause inability to void&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Medication.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Medication.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Tablets and capsules, several classes of which can trigger urinary retention\" class=\"wp-image-1773\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Medication.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Medication.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Medication.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Medication.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Medication.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">An over-the-counter cold remedy is one of the commonest triggers of a first episode \u2014 and one of the easiest to avoid.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Contributing factors worth knowing about<\/h4>\n\n\n\n<ol start=\"7\" class=\"wp-block-list\">\n<li><strong>Infection<\/strong> \u2014 a <a href=\"https:\/\/drsoaraweeurology.com\/2020\/07\/11\/bladder-infection-acute-cystitis\/\">bladder infection<\/a>, <a href=\"https:\/\/drsoaraweeurology.com\/2020\/07\/24\/what-is-acute-prostate-infection\/\">prostate infection<\/a> or urethral infection causes enough local irritation and swelling to tip someone into retention. Acute prostatitis in particular can cause it outright. Fever together with retention needs urgent attention rather than a routine appointment.<\/li>\n\n\n<li><strong>Constipation<\/strong> \u2014 stool impacted in the rectum presses on the bladder outlet and obstructs flow. It is a surprisingly common cause, and one of the easiest to correct. Worth asking about in anyone immobile or taking opioids, since those cause constipation and retention at the same time.<\/li>\n\n\n<li><strong>Limited mobility, illness and recent surgery<\/strong> \u2014 voiding is under brain control and normally happens standing, in privacy. Bed rest, a general anaesthetic, post-operative pain relief and an unfamiliar environment combine, which is why retention is so common in hospital. Some patients improve simply by being helped to stand. It is also why an episode that happens in hospital does not automatically mean the prostate needs treating.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"1774\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/basic-rgb-4\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?fit=1200%2C1200&amp;ssl=1\" data-orig-size=\"1200,1200\" 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;1551297728&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;Basic RGB&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Constipation is easily modifiable risk factor\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Constipation is easily modifiable risk factor&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?resize=800%2C800&#038;ssl=1\" alt=\"Constipation, an easily correctable contributing cause of urinary retention\" class=\"wp-image-1774\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?resize=1024%2C1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?resize=800%2C800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Constipation.jpg?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Constipation is the most easily modifiable factor on this list.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1771\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/joaquincorbalan-com\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bed-ridden.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;XF10&quot;,&quot;caption&quot;:&quot;Detail of a patient breathing oxygen through a plastic nasal cannula, elderly woman with breathing problems in a hospital.&quot;,&quot;created_timestamp&quot;:&quot;1570614702&quot;,&quot;copyright&quot;:&quot;joaquincorbalan.com&quot;,&quot;focal_length&quot;:&quot;18.5&quot;,&quot;iso&quot;:&quot;1600&quot;,&quot;shutter_speed&quot;:&quot;0.0125&quot;,&quot;title&quot;:&quot;joaquincorbalan.com&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Bed ridden is one of factor which make someone cannot urinate\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Bed ridden is one of factor which make someone cannot urinate&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bed-ridden.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bed-ridden.jpg?resize=800%2C533&#038;ssl=1\" alt=\"A patient confined to bed, a situation in which passing urine often becomes difficult\" class=\"wp-image-1771\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bed-ridden.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bed-ridden.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bed-ridden.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bed-ridden.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bed-ridden.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Being confined to bed makes voiding difficult \u2014 sometimes standing is all that is needed.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">What happens in the emergency room<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The first step is always <strong><em>bladder decompression<\/em><\/strong> \u2014 draining the retained urine with a urethral catheter, or a suprapubic tube where the urethral route is not possible. This relieves the pain immediately and protects the bladder from the damage that prolonged over-distension causes. Definitive treatment then follows once the cause is identified, and it differs completely depending on which of the nine causes above is responsible.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two things are worth knowing in advance about what follows the drainage.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Some blood in the urine is common<\/strong> after a large volume is drained. It happens because the bladder wall decompresses suddenly, it is usually self-limiting, and it settles within a day or two. Knowing that beforehand saves a great deal of unnecessary alarm.<\/li>\n\n\n<li><strong>Occasionally the kidneys then produce a great deal of urine for a day or two.<\/strong> This is called post-obstructive diuresis, and it is usually defined as passing more than 200 ml an hour for two hours running, or more than three litres in a day. In most men it settles within about 24 hours and needs nothing more than watching. Where it continues beyond about 48 hours it becomes a problem in its own right, because losing that much fluid and salt can drop the blood pressure and disturb the body\u2019s chemistry \u2014 which is a legitimate reason a man may be kept in hospital on fluids and blood tests rather than sent home with a bag. The heaviest diuresis, several litres a day and occasionally far more, generally happens only when both kidneys, or a single functioning kidney, were completely obstructed.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The volume drained is recorded, and it is worth being honest about what that number does and does not tell you. A very large volume does suggest the bladder had been struggling for a long time rather than failing suddenly. But <strong>there is no agreed volume above which retention is officially chronic<\/strong>: the formal definitions are based on how much urine is left <em>after<\/em> passing water rather than on how much comes out through the first catheter, and even those differ between guidelines \u2014 one uses more than 300 ml on at least two occasions over six months, while another sets the mark at a litre. Whether things settle down afterwards is predicted better by the kidney function, by whether the kidneys are swollen on a scan and by repeated infections than by the number on the drainage bag.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kidney function is therefore checked, since obstruction affects it. And <strong>a medication to relax the bladder outlet is usually started before the catheter is removed<\/strong>, which makes a real difference: pooled trial data show roughly <strong>60% of men pass urine successfully after the catheter comes out when an alpha-blocker has been given, against roughly 38% without one<\/strong> \u2014 and it also reduces the chance of going back into retention afterwards. That is one of the better-supported small interventions in urology, and it is a reasonable thing to ask about if it has not been mentioned.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"623\" data-attachment-id=\"1776\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/normal-prostate-and-benign-prostatic-hyperplasia-vector-flat-cartoon-illustration-icon-design-isolated-on-white-background-prostatitis-concept-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Infection.jpg?fit=1200%2C935&amp;ssl=1\" data-orig-size=\"1200,935\" 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;Normal prostate and benign prostatic hyperplasia. Vector flat cartoon illustration icon design.Isolated on white background. Prostatitis concept&quot;,&quot;created_timestamp&quot;:&quot;1578249094&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;Normal prostate and benign prostatic hyperplasia. Vector flat cartoon illustration icon design.Isolated on white background. Prostatitis concept&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Bladder, Prostate or Urethral infection can cause Urinary Retention\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Bladder, Prostate or Urethral infection can cause Urinary Retention&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Infection.jpg?fit=800%2C623&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Infection.jpg?resize=800%2C623&#038;ssl=1\" alt=\"Urinary tract infection, which can precipitate acute urinary retention\" class=\"wp-image-1776\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Infection.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Infection.jpg?resize=300%2C234&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Infection.jpg?resize=1024%2C798&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Infection.jpg?resize=768%2C598&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Infection.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Bladder, prostate or urethral infection can precipitate retention.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Whether a prostate operation follows depends on what is found. Where a clear trigger is identified and removed \u2014 a cold remedy, constipation, an infection, an anaesthetic \u2014 many men pass urine normally once the catheter comes out and need nothing further. Where no trigger is found, retention tends to recur and the underlying obstruction usually needs treating; the options are set out on the <a href=\"https:\/\/drsoaraweeurology.com\/services\/bph-enlarged-prostate-bangkok\/\">enlarged prostate<\/a> page.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"667\" data-attachment-id=\"1775\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/human-brain\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Neuron.jpg?fit=1200%2C1000&amp;ssl=1\" data-orig-size=\"1200,1000\" 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;3D Render of a Human Brain&quot;,&quot;created_timestamp&quot;:&quot;1453811807&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;Human Brain&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Neurological problem is considered as complicated issue in Retention of urine\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Neurological problem is considered as complicated issue in Retention of urine&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Neuron.jpg?fit=800%2C666&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Neuron.jpg?resize=800%2C667&#038;ssl=1\" alt=\"Nerve cells, illustrating the neurological causes of urinary retention\" class=\"wp-image-1775\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Neuron.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Neuron.jpg?resize=300%2C250&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Neuron.jpg?resize=1024%2C853&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Neuron.jpg?resize=768%2C640&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Neuron.jpg?resize=14%2C12&amp;ssl=1 14w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Neurological causes are the most complex group to assess.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">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 <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital Headquarters<\/a>. Appointments at Samitivej Sriracha Hospital in Chonburi can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>. Bring a list of <strong>everything<\/strong> you take, including cold remedies and anything bought without a prescription, and the record of how much was drained if you have it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for follow-up and non-urgent consultations, including for international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only. Enquiries about cost are answered by the hospital rather than through this website. <strong>If you cannot pass urine now, go to hospital rather than emailing.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions about Acute Urinary Retention in Men<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">What is acute urinary retention?<\/strong> <p class=\"schema-faq-answer\">Acute urinary retention is a urological emergency in which a person is suddenly unable to urinate despite having a full bladder. It is most common in men over the age of 60 and causes significant pain and discomfort. Immediate treatment with bladder catheterization is required to relieve the obstruction and prevent bladder injury. Do not wait to see whether it eases on its own \u2014 attend an emergency department the same day. In Thailand, call 1669.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">What is the most common cause of acute urinary retention in men?<\/strong> <p class=\"schema-faq-answer\">Benign prostatic hyperplasia, or enlargement of the prostate gland, is the most common cause of acute urinary retention in men. As the prostate grows, it gradually compresses the urethra, reducing urinary flow and increasing the risk of complete obstruction. Other causes include urethral stricture, urethral stone, infection, medications, constipation, limited mobility, a poorly contracting bladder, and neurological conditions.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Can medications cause urinary retention?<\/strong> <p class=\"schema-faq-answer\">Yes, and the classic one is bought without a prescription: the decongestant in ordinary cold and flu remedies, pseudoephedrine or phenylephrine, tightens the bladder outlet and frequently triggers a first episode in a man with an enlarged prostate. Older sedating antihistamines in the same products add to it. Anticholinergic drugs, tricyclic antidepressants, opioid painkillers, general anaesthesia and a heavy episode of drinking are also implicated. In many cases, stopping the responsible medication resolves the retention without further intervention \u2014 but this decision belongs to the doctor who prescribed it, so bring your full medication list rather than stopping anything yourself.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">How is acute urinary retention treated?<\/strong> <p class=\"schema-faq-answer\">The immediate treatment is bladder decompression via urethral catheterization or, where the urethral route is not possible, a suprapubic tube. This relieves the obstruction and protects the bladder. A medication to relax the bladder outlet, an alpha-blocker, is usually started before the catheter is removed: pooled trial data show roughly 60% of men void successfully after catheter removal with an alpha-blocker against roughly 38% without one, and it also reduces the chance of recurrent retention. After decompression, a urologist investigates the underlying cause and plans definitive treatment, which may include medication, a minimally invasive procedure or surgery depending on the diagnosis.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">Is blood in the urine normal after draining a retained bladder?<\/strong> <p class=\"schema-faq-answer\">Yes, mild blood in the urine after draining a large retained volume is a known and usually self-limiting effect. It occurs because the bladder wall decompresses suddenly, and it typically resolves within 24 to 48 hours. Separately, the kidneys sometimes produce a large volume of urine afterwards \u2014 post-obstructive diuresis, usually defined as more than 200 ml an hour for two consecutive hours or more than three litres in a day. It typically settles within about 24 hours, but if it continues beyond about 48 hours it risks dehydration, low blood pressure and disturbed electrolytes, and is a legitimate reason for admission with fluids and blood tests.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-6\"><strong class=\"schema-faq-question\">I am dribbling constantly now. Does that mean the blockage has cleared?<\/strong> <p class=\"schema-faq-answer\">Not necessarily, and this catches people out. A very full, obstructed bladder can overflow, producing constant dribbling that looks like incontinence or like the problem resolving, while the bladder is not emptying at all. Passing only small amounts frequently with constant leakage needs assessment rather than reassurance.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-7\"><strong class=\"schema-faq-question\">Does the amount drained tell me how serious it is?<\/strong> <p class=\"schema-faq-answer\">Only loosely. A very large drained volume suggests the bladder had been struggling for a long time rather than failing suddenly, but there is no agreed volume that defines retention as chronic. Formal definitions use the residual urine left after voiding rather than the initial drained volume, and they differ between guidelines \u2014 one uses more than 300 ml on at least two occasions over six months, another sets it at a litre. Kidney function, swelling of the kidneys on imaging and repeated infections predict the outcome better than the drainage volume does.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-8\"><strong class=\"schema-faq-question\">Will I definitely need a prostate operation afterwards?<\/strong> <p class=\"schema-faq-answer\">Not necessarily. Where a clear trigger is found and removed \u2014 a cold remedy, constipation, an infection, an anaesthetic \u2014 many men pass urine normally once the catheter comes out and need nothing further. Where no trigger is identified, retention tends to recur and the underlying obstruction usually needs treating. It is also worth confirming that the outlet is genuinely obstructed, because an underactive bladder produces a similar picture and does not improve with prostate surgery.<\/p><\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fisher E, Subramonian K, Omar MI. The role of alpha blockers prior to removal of urethral catheter for acute urinary retention in men. <em>Cochrane Database Syst Rev<\/em>. 2014;(6):CD006744.<\/li>\n\n\n<li>Karavitakis M, Kyriazis I, Omar MI, et al. Management of urinary retention in patients with benign prostatic obstruction: a systematic review and meta-analysis. <em>Eur Urol<\/em>. 2019;75(5):788\u2013798.<\/li>\n\n\n<li>Stoffel JT, Peterson AC, Sandhu JS, et al. AUA white paper on nonneurogenic chronic urinary retention: consensus definition, treatment algorithm, and outcome end points. <em>J Urol<\/em>. 2017;198(1):153\u2013160.<\/li>\n<\/ul>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/21\/male-urinary-retention\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/21\/male-urinary-retention\/\",\n      \"name\": \"Acute Urinary Retention in Men: Why Does This Happen?\",\n      \"description\": \"Acute urinary retention is a urological emergency needing same-day drainage. The nine causes behind it, the over-the-counter cold remedy that commonly triggers a first episode, what happens after the catheter goes in, and the symptoms that cannot wait.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2020-10-21\",\n      \"dateModified\": \"2026-08-29\",\n      \"lastReviewed\": \"2026-08-29\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/21\/male-urinary-retention\/#acute-urinary-retention\" },\n      \"citation\": [\n        { \"@type\": \"ScholarlyArticle\", \"name\": \"The role of alpha blockers prior to removal of urethral catheter for acute urinary retention in men\", \"isPartOf\": { \"@type\": \"Periodical\", \"name\": \"Cochrane Database of Systematic Reviews\" }, \"datePublished\": \"2014\", \"identifier\": \"10.1002\/14651858.CD006744.pub3\" },\n        { \"@type\": \"ScholarlyArticle\", \"name\": \"Management of urinary retention in patients with benign prostatic obstruction: a systematic review and meta-analysis\", \"isPartOf\": { \"@type\": \"Periodical\", \"name\": \"European Urology\" }, \"datePublished\": \"2019\", \"identifier\": \"10.1016\/j.eururo.2019.01.046\" },\n        { \"@type\": \"ScholarlyArticle\", \"name\": \"AUA white paper on nonneurogenic chronic urinary retention\", \"isPartOf\": { \"@type\": \"Periodical\", \"name\": \"The Journal of Urology\" }, \"datePublished\": \"2017\", \"identifier\": \"10.1016\/j.juro.2017.01.075\" }\n      ],\n      \"significantLink\": [\n        \"https:\/\/drsoaraweeurology.com\/2021\/05\/28\/transient-urinary-retention\/\",\n        \"https:\/\/drsoaraweeurology.com\/2020\/08\/28\/benign-prostate-bph\/\",\n        \"https:\/\/drsoaraweeurology.com\/2021\/06\/04\/bph-dual-therapies\/\",\n        \"https:\/\/drsoaraweeurology.com\/2021\/05\/14\/urethral-stricture-narrow-urethra\/\",\n        \"https:\/\/drsoaraweeurology.com\/2021\/09\/10\/residual-urine-why-we-measure\/\",\n        \"https:\/\/drsoaraweeurology.com\/2023\/04\/23\/uroflowmetry\/\",\n        \"https:\/\/drsoaraweeurology.com\/services\/bph-enlarged-prostate-bangkok\/\"\n      ],\n      \"disambiguatingDescription\": \"Aligned with the companion article on reversible causes of retention: overflow dribbling from a full obstructed bladder, easily mistaken for improvement or ordinary incontinence; post-obstructive diuresis after decompression; the significance of the drained volume; an alpha-blocker started before the trial without catheter; and the point that an underactive bladder mimics outlet obstruction and does not improve with prostate surgery. The over-the-counter decongestant in cold and flu remedies is named explicitly as the classic precipitant of a first episode. Cauda equina red flags are given as a standalone same-day list. Revised 29 August 2026 with sourced figures: alpha-blocker before catheter removal gives successful voiding in approximately 60% versus 38% without, and reduces recurrent retention; post-obstructive diuresis is defined as more than 200 ml per hour for two consecutive hours or more than three litres in 24 hours, physiological when self-limited within about 24 hours and pathological beyond about 48 hours; and there is NO validated drained-volume threshold distinguishing acute from chronic retention, since formal definitions use post-void residual and differ between guidelines (300 ml on two occasions over six months versus 1000 ml), with renal function, hydronephrosis and recurrent infection predicting outcome better than drained volume. 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It is intended for general education only and does not constitute medical advice, diagnosis or treatment for any individual. <strong>Being unable to pass urine with a painfully full bladder is a medical emergency \u2014 attend an emergency department the same day.<\/strong> Do not stop or change a prescribed medication without speaking to the doctor who prescribed it. No advice, diagnosis or prescription is given through personal messaging channels or social media, and Dr. Soarawee operates no public social media account. Always consult a qualified doctor about your own symptoms. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Suddenly unable to pass urine, with a painfully full bladder \u2014 that is a urological emergency. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, sets out the nine causes behind it, what happens in the emergency room, and why some cases resolve without any procedure at all.<\/p>","protected":false},"author":185281453,"featured_media":10015,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Suddenly unable to urinate? Dr. Soarawee explains the 9 common causes of acute urinary retention in men, from BPH and infections to medications and constipation, and how it is treated.","jetpack_seo_html_title":"Acute Urinary Retention in Men: Causes & Emergency Treatment | Dr. Soarawee Urology","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1463,1462,1461],"class_list":["post-1768","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-cannot-pee","tag-man-urine-retention","tag-urinary-retention"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-sw","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Acute-Urinary-Retention.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/1768","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/comments?post=1768"}],"version-history":[{"count":25,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/1768\/revisions"}],"predecessor-version":[{"id":11784,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/1768\/revisions\/11784"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/media\/10015"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/media?parent=1768"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/categories?post=1768"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/tags?post=1768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}