Urinary retention refers to postoperative poor urination or inability to urinate on its own due to various reasons, and the urine remains in the bladder.
1. Treatment Before the operation, it is necessary to actively do a good job of dredging, eliminate the patient's fear of the operation, stabilize the mood, and increase the patient's confidence in urinating on their own. Using the sound of running water to induce urination also has a better effect.
Analgesics should be given to dysuria caused by pain. Commonly used methods are H5R anti-pain tablets, intramuscular injection of Qiangtongding, or o. 5% procaine 20 curettage the long and strong points closed.
Excessive packing in the anal canal after surgery is one of the main causes of urine retention. Therefore, removing the packing in the anal canal 2 hours after the operation can effectively prevent urine retention, but care must be taken to prevent bleeding from the wound. The main cause of dysuria after 2-3 days is fecal impaction, which can be diagnosed by digital examination, 38. The normal saline enema can relieve the stool, and the retention of urine can be relieved.
For the elderly, infirm and weak in bladder smooth muscle contraction, neostigmine is injected intramuscularly to strengthen bladder smooth muscle contraction to relieve dysuria. Hot compress on lower abdomen can be relieved
Relieve anal sphincter spasm and promote urination. Difficulty urinating due to pain, acupuncture points such as Guanyuan, Qihai, Sanyinjiao, Zhongji, and Shuidao. For patients with urinary system diseases such as prostatic hypertrophy, acupuncture Zusanli, Sanyinjiao, Yanglingquan Transparent Lingquan. Taking Jin E Shen Qi Jiu can treat urinary retention caused by aging, frail, weak bladder skin contraction. Bazheng San has a good effect on the urinary port caused by inflammation of the urethra. Using 300ml of fresh willow twigs to decoct 200ml of tea on behalf of tea can also have an ideal effect. In addition, using Phellodendron, Atractylodes, Sophora flavescens, Angelica, Radix Paeoniae Alba, Dandelion, Piaoxiao, Licorice 128 each, decoction 1500m1, external fumigation and washing is also a common clinical method. The folk stimulating the urethral opening with fresh ginger juice or garlic juice can also help urination.
Various methods of treatment are ineffective, the bladder fills up obviously, and catheterization is required. The volume of urine in one time should not exceed looomI, let alone ventilate at one time, so as to avoid the rapid congestion of the bladder mucosal blood vessels causing extensive bleeding in the bladder mucosa. Indwelling catheterization if necessary, drainage once every 4 hours, and anti-infection treatment
2. Prevention Before the operation, the patient's fear of urinary retention and nervousness should be eliminated, and the possible reactions during and after the operation should be explained, and the patient should practice changing the body value to urinate. Choose an effective method of anesthesia to make the anal sphincter relax well and easy to operate. During the operation, you must be skilled and careful to avoid damaging too much tissue. Remember not to put too much dressing in the anorectum. Surgery should maintain the bowel movement, use laxatives when necessary, and enema should be used for postoperative defecation difficulties. Patients with urinary system diseases such as prostatic hypertrophy should be treated before surgery, and surgery should be performed after urination is smooth.