{"id":3598,"date":"2021-08-27T08:00:00","date_gmt":"2021-08-27T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3598"},"modified":"2026-05-18T09:55:41","modified_gmt":"2026-05-18T02:55:41","slug":"urinary-retention-%e0%b8%9c%e0%b8%b9%e0%b9%89%e0%b8%ab%e0%b8%8d%e0%b8%b4%e0%b8%87","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/th\/2021\/08\/27\/female-urinary-retention-aur\/","title":{"rendered":"Urinary retention in female \u0e20\u0e32\u0e27\u0e30\u0e1b\u0e31\u0e2a\u0e2a\u0e32\u0e27\u0e30\u0e44\u0e21\u0e48\u0e2d\u0e2d\u0e01\u0e43\u0e19\u0e1c\u0e39\u0e49\u0e2b\u0e0d\u0e34\u0e07"},"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 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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\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, 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1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 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\">Female urinary retention is a rare condition compared to males \u2014 literature shows an incidence ratio of female to male as low as 1:13. The reason is that women do not have a prostate gland, which is the most common cause of bladder outlet obstruction in aging men. However, when acute urinary retention (AUR) does occur in a female, it presents a complex diagnostic and management challenge even for experienced physicians.<\/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<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"450\" data-attachment-id=\"3607\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/2021\/08\/27\/female-urinary-retention-aur\/nurse-talking-with-senior-woman-in-wheelchair\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/AUR-patient.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;Nurse talking with senior woman with walking disabilities sitting in a wheelchair, into a private modern recovery clinic or hospital. Handicapped old retired patient medical consultation and advice&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;Nurse talking with senior woman in wheelchair&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Acute urinary retention in female is quite difficult issue in non-expert physician.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Acute urinary retention in female is quite difficult issue in non-expert physician.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/AUR-patient.jpg?fit=800%2C450&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/AUR-patient.jpg?resize=800%2C450&#038;ssl=1\" alt=\"Acute urinary retention female\" class=\"wp-image-3607\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/AUR-patient.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/AUR-patient.jpg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/AUR-patient.jpg?resize=1024%2C576&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/AUR-patient.jpg?resize=768%2C432&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/AUR-patient.jpg?resize=18%2C10&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Acute urinary retention in females is a challenging condition requiring specialist evaluation.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The etiology of female urinary retention is almost always multifactorial, requiring careful step-by-step assessment. I categorize the management into two clinical episodes.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"731\" data-attachment-id=\"3611\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/2021\/08\/27\/female-urinary-retention-aur\/old-woman-concern-thinking-on-a-white-background\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Upset-female.jpg?fit=1200%2C1097&amp;ssl=1\" data-orig-size=\"1200,1097\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark II&quot;,&quot;caption&quot;:&quot;old woman concern thinking on a white background&quot;,&quot;created_timestamp&quot;:&quot;1374599817&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;old woman concern thinking on a white background&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Female urinary retention is possibly caused from multifactorial which need to treat step-by-step.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Female urinary retention is possibly caused from multifactorial which need to treat step-by-step.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Upset-female.jpg?fit=800%2C731&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Upset-female.jpg?resize=800%2C731&#038;ssl=1\" alt=\"Female urinary retention multifactorial causes\" class=\"wp-image-3611\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Upset-female.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Upset-female.jpg?resize=300%2C274&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Upset-female.jpg?resize=1024%2C936&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Upset-female.jpg?resize=768%2C702&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Upset-female.jpg?resize=13%2C12&amp;ssl=1 13w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Female urinary retention is often caused by multiple overlapping factors requiring individualized treatment.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Two clinical episodes of female urinary retention<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Acute episode<\/strong> \u2014 First presentation or symptoms present for less than 6 weeks. This is treated as a potentially reversible condition, and the priority is identifying and correcting the underlying cause. Common acute triggers include the postpartum period and urological anti-incontinence surgery.<\/li>\n\n\n<li><strong>Chronic episode<\/strong> \u2014 Urinary retention that persists even after correctable causes have been addressed. Causes are divided into:\n\n<ul class=\"wp-block-list\">\n<li>Bladder causes \u2014 neurogenic bladder, underactive detrusor<\/li>\n\n\n<li>Bladder outlet obstruction \u2014 gynecological tumors, urethral tumors, or pregnancy<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3608\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/2021\/08\/27\/female-urinary-retention-aur\/chronic-female\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Chronic-female.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;ILCE-7M2&quot;,&quot;caption&quot;:&quot;Lonely Elderly patients in hospital bed patients want to go home - medical and healthcare concept&quot;,&quot;created_timestamp&quot;:&quot;1570274505&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;39&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Chronic female urinary retention will be considered if fail to reverse.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Chronic female urinary retention will be considered if fail to reverse.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Chronic-female.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Chronic-female.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Chronic female urinary retention\" class=\"wp-image-3608\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Chronic-female.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Chronic-female.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Chronic-female.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Chronic-female.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Chronic-female.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Chronic female urinary retention is diagnosed when the condition fails to reverse after correcting the underlying cause.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The immediate management for AUR in any patient is <strong>bladder decompression<\/strong>. When the bladder is overdistended beyond its functional limit, the surrounding nerve fibers become injured and require a period of rest to recover their contractile function.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Step-by-step management of female AUR<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Immediate bladder decompression via urethral catheterization or clean intermittent catheterization (CIC)<\/li>\n\n\n<li>Identify and correct the underlying etiology<\/li>\n\n\n<li>Continue bladder decompression for 1\u201314 days to allow bladder recovery, then trial of voiding<\/li>\n\n\n<li>If voiding trial succeeds, continue monitoring with residual urine measurement. If retention persists, reassess the clinical situation and continue bladder decompression<\/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=\"533\" data-attachment-id=\"3610\" data-permalink=\"https:\/\/drsoaraweeurology.com\/th\/2021\/08\/27\/female-urinary-retention-aur\/urethral-catheter-hold-on-blue-glove-hand-on-white-background-4\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Foley-cath.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 Kiss X2&quot;,&quot;caption&quot;:&quot;urethral catheter hold on blue glove hand on white background&quot;,&quot;created_timestamp&quot;:&quot;1567694652&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;60&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;urethral catheter hold on blue glove hand on white background&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Urethral catheter is considered when female urinary retention is suspected.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Urethral catheter is considered when female urinary retention is suspected.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Foley-cath.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Foley-cath.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Urethral catheter female urinary retention\" class=\"wp-image-3610\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Foley-cath.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Foley-cath.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Foley-cath.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Foley-cath.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Foley-cath.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Urethral catheterization is used for bladder decompression in female urinary retention.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28057989\/\">Published data<\/a> shows a 92.6% success rate after correction of the underlying etiology of female AUR, so this is a manageable condition with the right specialist approach.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can visit my <a href=\"https:\/\/drsoaraweeurology.com\/\">official homepage here<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Acute Urinary Retention in Females<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Why is acute urinary retention less common in women than men?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Women do not have a prostate gland, which is the most common cause of bladder outlet obstruction in aging men. The female urethra is also shorter and wider, making mechanical obstruction less likely. Literature shows a female-to-male incidence ratio of approximately 1:13 for acute urinary retention. However, when it does occur in women, the etiology is typically complex and multifactorial, requiring thorough specialist evaluation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What are the most common causes of acute urinary retention in women?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Common acute triggers include the postpartum period (after childbirth) and complications following urological anti-incontinence surgery. Chronic causes include neurogenic bladder dysfunction, underactive detrusor (bladder muscle weakness), gynecological or urethral tumors causing outlet obstruction, and pregnancy. Since causes are often multifactorial, a systematic diagnostic workup by a urologist is essential to identify all contributing factors before initiating treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What is the treatment for acute urinary retention in women?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The immediate treatment is bladder decompression via urethral catheterization or clean intermittent catheterization, which allows the overdistended bladder to rest and recover. The underlying etiology is identified and corrected simultaneously. After 1\u201314 days of decompression, a voiding trial is performed. Published data shows a 92.6% success rate after well-corrected etiology. If the voiding trial fails, bladder decompression is continued and the clinical situation is reassessed by a specialist.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you or a family member is experiencing difficulty urinating or has been diagnosed with female urinary retention, 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\": \"Why is acute urinary retention less common in women than men?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Women lack a prostate gland and have a shorter, wider urethra, making mechanical obstruction less likely. The female-to-male AUR incidence ratio is ~1:13. When it occurs in women, causes are complex and multifactorial.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What are the most common causes of acute urinary retention in women?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Acute triggers: postpartum period, anti-incontinence surgery complications. 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The reason is that women do not have a prostate gland, which is the most common cause of bladder outlet obstruction in aging men. However, when acute urinary retention (AUR) does [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10044,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Acute urinary retention (AUR) in females: causes, 2-episode classification (acute vs chronic), bladder decompression management, and 92.6% success rate. 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