Authors: Ivana Lutchman / Editor: Steve Corry-Bass / Reviewer: Ciaran Mackle / Codes: ELP7, SLO1, UP3 / Published: 14/01/2023
An elderly gentleman presents to the emergency department (ED) with increasing frequency of nocturnal enuresis.
He has no suprapubic discomfort, dysuria, fevers, rigors or night sweats. He usually gets up 3-4 times each night to urinate, but does not complain of poor flow. His past medical history is significant for urinary tract infections. He is otherwise well.
He is incidentally found to be in urinary retention with a large volume found on bladder scan. Renal ultrasound shows bilateral hydronephrosis and hydroureter. He is immediately catheterised and 2500ml of urine initially drained.
8 responses
Good module. Didn’t know about POD – good to use when urology refuse referrals!
Urology will say – admit under medics. 😀
POD – good recap
Nice one.
good case and revision of UROLOGY
good reminder. I had forgotten about POD. I have not heard it mentioned for years.
Good case.
Great to know parameters for POD and when to monitor after a urinary retention