For a Better Bolton

Community Directory of Services

Acute Urinary Retention Pathway

  • Admission Avoidance
  • Hospital at Home
  • ARU
  • AUR
  • bladder
  • catheterisation
  • retention
  • urinate
  • urine
  • urology

Service summary

Acute urinary retention is a sudden painful inability to urinate. Immediate treatment is catheterisation to relieve pain, decompress the bladder and allow urine to drain.

Acute Retention of Urine (AROU) is considered a clinical emergency and is associated with increasing pain and anxiety as the episode progresses.

This pathway is only intended for MALE patients who are in AROU requiring Urinary catheterisation this is because men are more likely to go into AROU and as men become older its prevalence increases.

The most likely cause of urinary retention for men is the enlarged prostate. Women may have more complex causes. This procedure can be undertaken in the community/patients own home by staff who have undertaken the necessary training and feel competent, and safe to do so.

How to refer into this service

✓ Adult male patients > 18yrs

✓ Suspected or confirmed Acute urinary retention

✓ Able to be safely managed in the community

✓ No signs of sepsis or systemic infection

✓ Haemodynamically stable

✓ Patient consents to community catheterisation and follow up

 

Referral via Single Point of Access: 01204 331 155

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