일시적인 요폐: 관리

마지막 업데이트: 2026년 5월 18일

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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 “Transient Urinary Retention” — the reversible form.

• 비뇨기과 센터 태국 방콕 병원 온라인 예약 02-310-3009 bhquro@bdms.co.th
• 사미티브 스리라차 병원 촌부리 088-022-1445

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 DIAPPERS.

가역적인 원인 Transient Urinary Retention — DIAPPERS

• D — Delirium
• I — Infection — any infection-related illness, especially acute urinary tract infection

• A — Atrophic vaginitis
• P — Pharmaceuticals:
  • 항고혈압제
  • Pain killers — NSAIDs, opioid derivatives
  • Psychotherapeutics — antidepressants, sedatives
  • Alcohol — increases urine production with impaired nervous system control
  • Antihistamines — inhibit bladder contraction

• P — Psychological disorder — e.g., depression
• E — Excessive urine output — e.g., hyperglycemic state (poorly controlled diabetes)
• R — Reduced mobility — bedridden patients; hospitalized patients with prolonged bed rest
• S — Stool impaction — fecal impaction in the rectum compresses the urethra, causing voiding difficulty

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.

Any questions, feel free to contact me through the social links on this website.

Frequently Asked Questions About Transient Urinary Retention

What is transient urinary retention and how is it different from chronic retention?

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.

Which medications can cause transient urinary retention?

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’s voiding reflex). If you develop urinary difficulty after starting a new medication, consult your doctor or urologist promptly.

How is transient urinary retention managed?

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.

If you or a family member is experiencing urinary retention or difficulty urinating, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. 진료 예약.

면책 조항: 본 내용은 방콕 병원 본사의 전문의인 Soarawee Weerasopone 박사가 작성하고 검토한 것입니다. 교육 목적으로만 제공되며 의학적 조언을 구성하지 않습니다. 모든 의학적 치료를 시작하기 전에 항상 자격을 갖춘 의료 전문가와 상담하십시오.