Chronic Urinary Retention – Causes, Diagnosis and Management_OnDemand-Chronic Urinary Retention – Causes, Diagnosis and Management

Video Transcription

Video Summary

In the AUGS Urogynecology Webinar Series, Dr. John Stoffel, a specialist in Neuro-Urology and Pelvic Reconstruction, delivers a comprehensive lecture on chronic urinary retention, focusing on its causes, diagnosis, and management. Dr. Stoffel emphasizes understanding chronic urinary retention through stratification based on risk and symptom severity. He outlines the differences between chronic urinary retention, incomplete emptying, and acute urinary retention, defining the condition as an elevated post-void residual greater than 300 cc that persists for at least six months, excluding neurologic or oncologic sources.<br /><br />The presentation dives into various diagnostic approaches, including the importance of distinguishing bladder outlet obstruction from an underactive bladder, and the role of urodynamic studies in differentiating the two. Dr. Stoffel also emphasizes the necessity of physical examinations in assessing causes like obstructive prolapse or other conditions.<br /><br />For treatment, Dr. Stoffel discusses using alpha blockers, intermittent catheterization, and neuromodulation for specific cases, highlighting the importance of managing safety risks and assessing symptoms through validated instruments. He further touches on advanced options like sacral neuromodulation, urethralysis, and neuromodulation techniques while addressing novel technologies in development.<br /><br />The question-and-answer session covers practical aspects such as catheter selection and insurance, medication effects, and the potential of external neuromodulation in treatment. Overall, this educational session provides valuable insights into managing a complex condition with a patient-centered approach.

Keywords

chronic urinary retention

Neuro-Urology

Pelvic Reconstruction

diagnosis

management

urodynamic studies

alpha blockers

intermittent catheterization

neuromodulation

sacral neuromodulation