JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 51

Abstracts

51

P5-6: Figure 2

Patients and Methods: Notes of all females coded as
having retention between the period 01/10/2014 -
30/09/2016 were analysed.
Results: Single episode of retention. N=40. Most common causes are constipation, anaesthetic / medication
use. 91% of these pass a TWOC on first attempt. 27
(60%) of women had imaging / cystoscopy with no findings. 3 (6%) had a pelvic mass on USS. UTI's only
accounted for 3 (6%) of cases but can trigger acute on
chronic retention, as can constipation. 9 women (19%)
transpired to be chronic retainers, having failed their
initial TWOC's. 78% of these women (n=7) had some

form of imaging in the form of an USS +/- MRI spine and
88% (n=8) had a flexible or rigid cystoscopy yielding no
new information. Recurrent episodes of retention. N
=20. All 20 women had an USS or MRI, 50% had both
modalities with no positive findings. 50% had cystoscopy +/- urethral dilatation with no effect / positive
finding. 9 (45%) of women were deemed functional
retainers after investigation.
Conclusions: We propose the following algorithm for
first presentation of retention: Recurrent retention These women undergo multiple investigations without
positive findings, potentially contributing to their high



Table of Contents for the Digital Edition of JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018

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