What should I do if I cannot urinate after the urinary catheter is removed?
My father recently underwent surgery and has been unable to control urination. Even after the urinary catheter was removed, he still cannot urinate. I would like to ask what should be done in this situation?
Doctor's answer (1)
If urine cannot be passed after removing the urinary catheter, the following measures can be taken:
1. Drink an appropriate amount of water: This increases urine volume, stimulates the urethra and bladder, and promotes urination.
2. Local heat application: Apply a warm towel to the lower abdomen or perineal area to relax the urethral sphincter muscle, which helps in passing urine.
3. Massage: Gently massage the bladder area in the lower abdomen, avoiding excessive pressure, to assist in urination.
4. Behavioral training: If not accustomed to urinating while lying down, try squatting or standing to urinate, or use stimuli such as listening to running water to encourage urination.
5. Medication: Such as anti-inflammatory drugs or antispasmodics, which can help relieve urethral inflammation and promote bladder muscle relaxation.
6. Reinsertion of a urinary catheter: In certain cases, it may be necessary to reinsert a urinary catheter to prevent complications caused by excessive bladder distension and to allow sufficient time for bladder function to gradually recover.
If urine cannot be passed for a prolonged period, prompt medical attention is recommended.
