Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Acute urinary retention in a young man secondary to colonic irrigation: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Acute urinary retention in a young man secondary to colonic irrigation a case report Omer A Raheem Ronan M Long Rowan G Casey Frank T D Arcy and Thomas H Lynch Address Department of Urology University of Dublin Trinity College St James s Hospital James s Street Dublin 8 Ireland Email OAR - omerham@ RML - ronanlong@ RGC - rowcasey@ FTD - darcyft@ THL - tlynch@ Corresponding author Received 21 March 2009 Accepted 28 May 2009 Published 11 June 2009 Journal ofMedical Case Reports 2009 3 6757 doi 1752-1947-3-6757 This article is available from http jmedicalcasereports article view 6757 2009 Raheem et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Autonomic innervation of the bladder is complex and regulated by a hierarchy of mechanisms of the central nervous system. Any dysfunction in these regulatory mechanisms can lead to acute urinary retention. Case presentation A 36-year-old Caucasian man presented with acute urinary retention following extensive bowel irrigation. His urinary bladder was decompressed and his normal voiding mechanism was restored thereafter. Conclusion We postulate that prolonged anorectal and sigmoid dilatation can stimulate the recto-vesicourethral reflex and lead to acute urinary retention via autonomic dysfunction. Introduction A history of acute urinary retention AUR in healthy young men is an infrequent presentation. AUR is defined as an emergency situation characterized by a sudden inability to pass urine and is associated with lower abdominal pain and distention 1 . The aetiology of AUR in young men can be broadly classified into .
