{"id":3598,"date":"2021-08-27T08:00:00","date_gmt":"2021-08-27T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3598"},"modified":"2026-08-25T23:32:40","modified_gmt":"2026-08-25T16:32:40","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":"\u0e20\u0e32\u0e27\u0e30\u0e44\u0e21\u0e48\u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e16\u0e48\u0e32\u0e22\u0e1b\u0e31\u0e2a\u0e2a\u0e32\u0e27\u0e30\u0e44\u0e14\u0e49\u0e17\u0e31\u0e19\u0e17\u0e35\u0e43\u0e19\u0e1c\u0e39\u0e49\u0e2b\u0e0d\u0e34\u0e07: \u0e2a\u0e32\u0e40\u0e2b\u0e15\u0e38 \u0e41\u0e25\u0e30\u0e40\u0e2b\u0e15\u0e38\u0e1c\u0e25\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e43\u0e2b\u0e49\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e19\u0e43\u0e08\u0e43\u0e19\u0e1b\u0e31\u0e08\u0e08\u0e38\u0e1a\u0e31\u0e19"},"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\/th\/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-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\" 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, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default 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C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WordPress<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" 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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<h2 class=\"wp-block-heading\">If you cannot pass urine right now<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Go to hospital today.<\/strong> A bladder that cannot empty is painful, it does not resolve by waiting, and prolonged obstruction damages the kidneys. Draining it with a catheter relieves it within minutes. Working out why it happened comes afterwards \u2014 and in women that part genuinely matters, because the answer is rarely obvious.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An earlier version of this article set out the classification and management without saying this anywhere. In an emergency in Thailand, call <strong>1669<\/strong>.<\/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<h2 class=\"wp-block-heading\">Why it is uncommon \u2014 and why that is a problem<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Retention is far less frequent in women than in men, by something in the order of one to more than ten. Women have no prostate, and the female urethra is short and wide, so mechanical obstruction is unusual.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The consequence is worth stating plainly: <strong>because it is rare, it is frequently not looked for.<\/strong> Women describing difficulty emptying are told it is a urinary infection, or anxiety, or nothing, and the correct diagnosis arrives years later. That is the practical reason for this page.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter 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;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;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=\"Woman with lower abdominal discomfort from a bladder that will not empty\" 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\">Uncommon does not mean unimportant \u2014 it usually means the diagnosis takes longer than it should.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">The causes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The earlier version of this article listed childbirth, anti-incontinence surgery, neurogenic bladder, underactive bladder, tumours and pregnancy. Those are real, but several of the commonest and most consequential causes were absent, and they are included here.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Mechanical<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pelvic organ prolapse.<\/strong> A bladder or uterus descending into the vagina kinks the outlet, and this is among the commonest causes of poor emptying in older women. It was missing from the earlier version. Women often describe a bulge, or having to push it back to pass urine.<\/li>\n\n\n\n<li><strong>Severe constipation.<\/strong> A loaded rectum presses on the bladder outlet \u2014 simple, common and easily corrected.<\/li>\n\n\n\n<li><strong>A pelvic mass<\/strong>, including a large fibroid, or a retroverted uterus in early pregnancy \u2014 classically at around the third or fourth month, and resolving once the uterus rises out of the pelvis.<\/li>\n\n\n\n<li><strong>Tumours of the urethra, bladder neck or gynaecological organs<\/strong>, and <strong>urethral narrowing<\/strong> after previous surgery or radiotherapy.<\/li>\n\n\n\n<li><strong>After surgery for urinary incontinence<\/strong>, where the support placed under the urethra can be too tight. This is correctable, and important to recognise rather than accept.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">After childbirth<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Common, and usually temporary. Epidural anaesthesia, a long labour, an instrumental delivery, perineal pain and swelling all contribute. It matters because a bladder left overfull for hours after delivery can be damaged, and because women in pain after childbirth often do not notice they have not passed urine. It should be actively checked rather than waited for.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Medicines<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Absent from the earlier version, and worth checking in every case: anticholinergic drugs including those given for an overactive bladder, older sedating antihistamines, decongestants in cold remedies, opioid painkillers, anaesthesia, and tricyclic antidepressants.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Nerve and spinal causes<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Multiple sclerosis, spinal cord disease, diabetes affecting the nerves, and previous radical pelvic surgery.<\/strong><\/li>\n\n\n\n<li><strong>Pressure on the nerves at the base of the spine<\/strong>, which is an emergency \u2014 see the red flags below.<\/li>\n\n\n\n<li><strong>A first episode of genital herpes.<\/strong> Severe pain and inflammation, sometimes with nerve involvement, can stop a young woman passing urine altogether. It is temporary, it is frightening, and it is often not connected to the rash.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter 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;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;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=\"Woman in consultation, illustrating the multiple overlapping causes of urinary retention in women\" 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\">More than one factor is usually at work, which is why the assessment is systematic rather than quick.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">The diagnosis most often missed in young women<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This deserves its own section, and it was not in the earlier version at all.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A young woman, typically in her twenties or thirties, gradually stops emptying properly. The striking feature is what is <em>absent<\/em>: <strong>she often feels no urge and little pain<\/strong>, despite holding a very large volume \u2014 the opposite of the picture in a man with an obstructed prostate. The problem is a sphincter that will not relax rather than anything blocking the way, and it is sometimes triggered by an operation or a period on opioids.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because the presentation is so unlike ordinary retention, these women are commonly told the problem is psychological, and the delay to diagnosis is frequently measured in years. It is recognised on measuring what is left in the bladder and confirmed with specialist testing, and there are treatments for it. If this description fits you, it is worth asking for a bladder scan after passing urine \u2014 a two-minute test that settles the question.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">See also <a href=\"https:\/\/drsoaraweeurology.com\/2021\/12\/03\/female-underactive-bladder\/\">underactive bladder in women<\/a>, which covers the related situation where the bladder muscle itself is weak.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What treatment involves<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Draining the bladder<\/strong>, either with a catheter left in or by intermittent catheterisation, which many women learn to do themselves and generally prefer.<\/li>\n\n\n\n<li><strong>Resting the bladder.<\/strong> A bladder stretched well beyond its capacity is temporarily damaged and needs time before it will contract properly again \u2014 which is why the catheter stays for a period rather than being removed the same day.<\/li>\n\n\n\n<li><strong>Finding and correcting the cause<\/strong> at the same time \u2014 reviewing medicines, clearing constipation, treating infection, addressing prolapse, releasing a too-tight incontinence support.<\/li>\n\n\n\n<li><strong>A trial without the catheter<\/strong>, with the residual volume checked afterwards rather than relying on how it felt.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Most women whose cause is identified and corrected do return to passing urine normally. The earlier version of this article gave a figure of 92.6% from a single published series; the direction is right and the decimal place is not, and it has been removed. Where retention persists, intermittent self-catheterisation is a manageable long-term solution rather than a failure, and other treatments exist depending on the cause.<\/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=\"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;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;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=\"Urinary catheter used to drain and rest an overdistended bladder\" 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\">Draining relieves the pain immediately; the bladder then needs a period of rest before it works properly again.<\/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<\/strong> with a painful full lower abdomen.<\/li>\n\n\n\n<li><strong>New weakness or numbness in the legs, numbness around the buttocks or genitals, or loss of bowel control<\/strong> alongside difficulty passing urine. 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\n<li><strong>Fever or shaking chills<\/strong> with difficulty passing urine.<\/li>\n\n\n\n<li><strong>Not having passed urine within several hours of giving birth<\/strong>, whether or not it feels uncomfortable.<\/li>\n\n\n\n<li><strong>Constant dribbling with a full, uncomfortable abdomen<\/strong> \u2014 an overflowing bladder rather than an improvement.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Why does this happen to women at all, if there is no prostate?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Because obstruction is only one route to a bladder that will not empty. In women the causes are more often prolapse kinking the outlet, nerve conditions, medication, the after-effects of childbirth or surgery, or a sphincter that will not relax. It is much less common than in men, which is precisely why it is often missed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">I am in my thirties, I do not feel much urge, but I never seem to empty. What could that be?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The absence of urge and pain despite a large retained volume is characteristic rather than reassuring, and in young women it points to a sphincter that will not relax rather than to anything psychological. Ask for a bladder scan immediately after passing urine \u2014 it takes two minutes and settles the question.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can medicines cause it?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, and this is checked in every case. Anticholinergic drugs including those prescribed for an overactive bladder, older antihistamines, decongestants in cold remedies, opioid painkillers, anaesthesia and tricyclic antidepressants can all contribute.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is it normal after childbirth?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It is common and usually temporary, particularly after an epidural, a long labour or an instrumental delivery. It still needs acting on, because a bladder left overfull for hours can be damaged, and women in pain after delivery frequently do not notice they have not passed urine.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Will I need a catheter permanently?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Usually not. Most women whose cause is found and corrected return to passing urine normally. Where it persists, intermittent self-catheterisation \u2014 which most women manage easily once taught \u2014 is a practical long-term arrangement rather than a defeat, and other treatments exist depending on the underlying cause.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Arranging a consultation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Soarawee Weerasopone sees patients at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital in Chonburi on <a href=\"tel:0880221445\">088-022-1445<\/a>. Bring a list of everything you take including anything bought without a prescription, details of any pelvic or incontinence surgery, and the record of how much was drained if you have already been catheterised.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including 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, not by this website. <strong>If you cannot pass urine now, go to hospital rather than emailing.<\/strong><\/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, and is intended for education only. It is not medical advice, diagnosis or a prescription for any individual, and no advice, diagnosis or prescription is given through personal messaging channels or social media. Dr. Soarawee operates no public social media account; any account offering private consultation in his name is fraudulent. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\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\/2021\/08\/27\/female-urinary-retention-aur\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2021\/08\/27\/female-urinary-retention-aur\/\",\n      \"name\": \"Sudden Inability to Pass Urine in Women: Causes, and Why It Needs Attention Today\",\n      \"description\": \"Acute urinary retention in women requires same-day drainage. Causes include pelvic organ prolapse, childbirth, medication, neurological disease and non-relaxing sphincter dysfunction in young women.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2021-08-27\",\n      \"dateModified\": \"2026-08-25\",\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\/2021\/08\/27\/female-urinary-retention-aur\/#female-aur\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"The earlier version set out classification and management without stating that acute retention requires same-day drainage; that now leads the page. Several major causes were absent and have been added: pelvic organ prolapse, severe constipation, pelvic mass and retroverted gravid uterus, medication including anticholinergics, antihistamines, decongestants and opioids, neurological disease, cauda equina compression as an emergency, and painful retention during primary genital herpes. Non-relaxing sphincter dysfunction in young women, characterised by absent urge and minimal pain despite large retained volumes and frequently misattributed to psychological causes, was absent entirely and now has its own section. A quoted 92.6 percent success figure from a single series has been removed as falsely precise. 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Aetiology is frequently multifactorial.\",\n      \"cause\": \"Pelvic organ prolapse; severe constipation; pelvic mass or retroverted gravid uterus; urethral, bladder neck or gynaecological tumour; obstruction following anti-incontinence surgery; postpartum bladder dysfunction after epidural, prolonged labour or instrumental delivery; anticholinergic, antihistamine, sympathomimetic decongestant, opioid and tricyclic medication; multiple sclerosis, spinal cord disease and diabetic neuropathy; cauda equina compression; primary genital herpes; and non-relaxing urethral sphincter dysfunction in young women.\",\n      \"possibleComplication\": \"Detrusor overdistension injury from delayed drainage, renal impairment from prolonged obstruction, overflow incontinence mistaken for improvement, and prolonged diagnostic delay where symptoms are attributed to psychological causes.\",\n      \"possibleTreatment\": {\n        \"@type\": \"MedicalProcedure\",\n        \"name\": \"Catheter drainage or clean intermittent self-catheterisation, a period of bladder rest, correction of the underlying cause, and trial without catheter with post-void residual measurement\"\n      },\n      \"signOrSymptom\": \"Inability to void with painful suprapubic distension. 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Anticholinergic drugs including those prescribed for overactive bladder, older antihistamines, decongestants in cold remedies, opioid painkillers, anaesthesia and tricyclic antidepressants can all contribute, and medication is reviewed in every case.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Is difficulty passing urine normal after childbirth?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"It is common and usually temporary, particularly after epidural anaesthesia, prolonged labour or instrumental delivery, but it still needs acting on, since a bladder left overfull for hours can be damaged and women in pain after delivery often do not notice.\" }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>\u0e1e\u0e1a\u0e44\u0e14\u0e49\u0e19\u0e49\u0e2d\u0e22\u0e01\u0e27\u0e48\u0e32\u0e43\u0e19\u0e1c\u0e39\u0e49\u0e0a\u0e32\u0e22 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