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Query: UMLS:C0677481 (urinary frequency)
 1,126 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Voiding dysfunction in women results from either a failure of the bladder to contract appropriately or a failure of the urethra or bladder neck to relax during attempts at micturition. Complaints of urinary frequency and urgency most often accompany voiding dysfunction. Associated symptoms, which are not always present, include postvoid fullness, poor flow, hesitancy, and complete urinary retention. Obstructive uroflowmetry and elevated residual urine are suggestive screening tests; however, complete multichannel urodynamic evaluation is necessary to arrive at a specific diagnosis. Once a diagnosis has been made, therapy will be directed at either increasing vesical contractility or reducing bladder outlet obstruction. Acute urinary retention should be dealt with initially by bladder decompression via catheterization. Regardless of the cause of the voiding dysfunction, if further therapy is unsuccessful, clean intermittent self-catheterization may prove to be the best alternative. This can ensure maintenance of relatively low intravesical pressure and residual urine, thus reducing the risk of urinary infection.
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PMID:Voiding dysfunction. 269 20

Acute urinary retention has many etiologies. In the pregnant patient, especially at the end of the first trimester, an incarcerated gravid uterus is a rare but possible cause. The patient discussed is a 30-year-old, gravida 4, para 2012, woman who was 14 weeks pregnant and who presented complaining of lower abdominal pain, urinary frequency, urgency, and nocturia. Based on the patient's symptoms, a diagnosis of a urinary tract infection was made, and antibiotic therapy was begun. Her symptoms failed to resolve, however, and she was referred for further evaluation, which eventually revealed an incarcerated gravid uterus. The patient was referred to an obstetrician who re-positioned her uterus without difficulty, and she subsequently had an uneventful pregnancy.
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PMID:Acute urinary retention secondary to an incarcerated gravid uterus. 396 65