Acute urinary retention in a young man secondary to colonic irrigation: a case report.

J Med Case Rep

Department of Urology, University of Dublin, Trinity College, St James's Hospital James's Street, Dublin 8 Ireland.

Published: June 2009

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726523PMC
http://dx.doi.org/10.4076/1752-1947-3-6757DOI Listing

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