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COMMON
TYPES OF
URINARY
ALTERATIONS
ANILKUMAR BR
LECTURER MSN
Dedicated to Him.....
Urgency
– Feeling of need to void immediately
Cause of urinary urgency
– Full bladder
– Infection and irritation of the bladder
– Hyperactive bladder
– Psychological stress
Dysuria
– Painful or difficult urination
Causes if dysuria
– Inflammation of the bladder
– Trauma or inflammation if urethral
sphincter
Frequency
– Voiding at frequent intervals (less than 2 hrs)
Causes of urinary frequency
– High amount of fluid intake
– Bladder inflammation
– Increased pressure in bladder
– Diuretic medications therapy
Hesitancy
– Difficulty initiating urination
Causes if hesitancy
– BPH
– Anxiety
– Urethral edema
Polyuria
– Voiding or passing large amount of urine
Causes of polyuria
– Large amounts of fluid intake
– Diabetes mellitus ( DM)
– Diabetes insipedus
– Using of diuretic medications
Oliguria
– Decreased urinary output less than 400
ml/24 hrs
Causes of oliguria
– Severe dehydration
– Renal failure
– UTI
– Increased ADH secretion
– CHF
Nocturia
– Voiding one or more times especially at night
Causes of nocturia
– Large amount of fluid intake before going to bed
– Renal disease
– Aging process
– BPH
Dribbling
– Leakage if urine despite voluntary control of
urination
Causes of dribbling
– Stress incontinence
– Over flow from urinary retention
Incontinence
– Involuntary loss of urine
Causes if incontinence
– Loss if pelvic muscle tone
– Fecal impaction
– Neurological impairment
– Overactive bladder
Hematuria
– Blood in urine
Retention
– Accumulation of urine in the bladder,with
inability if bladder to empty fully
Causes of retention
– Urethral obstruction
– Decreased sensory activity
– Neurogenic bladder
– BPH
– Post anesthesia effects
– Medications side effects
Residual urine
– Volume if urine remaining after voiding
more than 100ml
Causes
– Inflammation and irritation if bladder mucosa
from infection
– Neurogenic bladder
– BPH
– Trauma and inflammation of the urethra
Jai hind... Jai Karnataka

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Common types of urinary alterations