Urinary Retention Treatment in Ahmedabad — Expert Acute & Chronic Care by Dr. Prarthan Joshi

Urinary retention — the inability to pass urine — is one of the most distressing urological emergencies a man can experience. Whether it strikes suddenly and completely (acute retention) or develops as a gradual accumulation of ever-larger post-void residual volumes (chronic retention), urinary retention requires expert urological assessment and — in most cases — both immediate management and definitive treatment of the underlying cause.

At Zydus Hospitals, Ahmedabad, Dr. Prarthan Joshi — M.S., M.Ch. (Urology) — provides comprehensive urinary retention treatment in Ahmedabad — from emergency catheterisation through to the definitive surgical procedure that prevents recurrence.

Acute vs Chronic Urinary Retention

• Acute urinary retention (AUR) — a sudden, complete inability to urinate, typically associated with significant lower abdominal pain and distress. A urological emergency requiring same-day catheterisation.
• Chronic urinary retention (CUR) — gradual accumulation of large post-void residual volumes, often with no acute pain. Many men with CUR are unaware of how much urine is remaining in their bladder until it is measured on ultrasound.
• Acute on chronic retention — a sudden episode of complete retention on top of a pre-existing chronic retention — typically in men with longstanding BPH who have tolerated symptoms for too long.

Common Causes

• BPH (Enlarged Prostate) — by far the most common cause in men over 50. The progressively obstructing prostate eventually triggers retention. See BPH treatment in Ahmedabad.
• Urethral stricture — scarring that progressively narrows the urethra until flow ceases entirely.
• Prostate cancer — locally advanced disease causing outlet obstruction.
• Neurological causes — spinal cord injury, diabetic neuropathy, or multiple sclerosis impairing bladder contraction.
• Medication-induced — anticholinergics, antihistamines, and some antidepressants can precipitate retention in predisposed men.
• Post-operative retention — common after spinal or pelvic surgery, usually temporary.

Immediate Treatment — Catheterisation

The immediate treatment for acute urinary retention is urethral catheterisation — draining the retained urine and relieving the distress. In men where urethral catheterisation is not possible due to stricture, a suprapubic catheter may be placed percutaneously through the lower abdomen directly into the bladder.

Definitive Treatment — Addressing the Cause

Catheterisation is a temporising measure — not a cure. The definitive treatment depends on the underlying cause:

• BPH-related retention — enlarged prostate treatment with alpha-blockers for a trial of voiding; if unsuccessful, Bipolar TURP surgery in Ahmedabad or laser prostate surgery delivers definitive, durable relief.
• Urethral stricture — optical urethrotomy or urethroplasty.
• Neurological retention — clean intermittent self-catheterisation (CISC) training and pharmacological support.

The Risk of Repeated Catheterisation Without Definitive Treatment

Each episode of catheterisation without addressing the underlying cause increases the risk of urinary tract infection, urethral trauma, and — in chronic high-pressure retention — irreversible damage to the bladder and kidneys. Weak urine flow that has been present for months before a retention episode is the warning that should have prompted earlier evaluation.

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