URINARY ELIMINATION
(RETENTION AND
INCONTINENCE)
SAPANA THAKOR
NURSING FOUNDATION
LECTURE
NSIN JETALPUR
INTRODUCTION
▸Urinary elimination is defined as expulsion
of waste products from the body through the
urinary system.
▸Elimination from the urinary tract hepls to
remove the waste products from body.
▸It is essential to the body’s physical well-
being.
CAUSES
▸Life style
▸Fluid and food intake
▸Environment
▸Psychological factors
▸Medication
▸Muscles tone and activity
▸Pathological conditions
▸Surgical and diagnostic procedure.
ALTERATION IN URINARY
ELIMINATION
▸Polyuria
▸Oligouria
▸Anuria
▸Nocturia
▸Dysuria
▸Enuresis
Hesitance
Urinay incontinence
Urinary retantion
URINARY RETENTION
▸Ur it is the inability to empty the bladder
▸It can be acute or chronic .
▸More in male
CAUSES
▸Obstruction of urinary tract (enlarged prostate ,
stons)
▸Infection that can swelling
▸Nerve problem
▸Medications
▸Constipations
▸Urethral stricture or weak bladder.
SYMPTOMS
▸Sever discomfort
▸Pain
▸Bloted lower belly.
▸Weak flow of urine
▸Needing to go frequantly
▸Feeling u still after yo hv finish
DIAGNOSIS
▸Urine sample
▸Bladder scan
▸Cystoscopy
▸X-ray
▸Ct scan
▸Blood test for PSA
▸Urodynamic
▸Prostate fluid sample test
TREATMENT
▸Catheterization
▸Treating prostate enlarged
▸Surgery
SURGICAL MANAGEMENT
▸Bladder neck repair-urethroplasty
▸Suprapubic cystostomy.
NURSING MANAGEMENT
▸Urine OP
▸Obseved oliguria and anuria
▸Percussion for dull sound
▸Client experience
▸Provide privacy
▸Comfortable position
▸Warm bath for perineum relaxation
▸Apply ice on inner thigh.
▸Relaxation therapy
▸Catheterization
▸Prevent infection
▸Maintain close drainge
▸Avoid back flow of urine
▸Maintain patency of catheter
▸Encourage increase fluid intake
▸Prophylactic antibiotics.
URINARY INCONIENCE
INTRODUCTION
▸UI is unintentional or uncontrolled urine
leakage that occurs due to poor functioning of
muscles called urinary spincter enable to hold
urine in the bladder.
▸Its common in women than men.
TYPES
▸Stress incontinence
▸Urge incontinence
▸Over flow incontinence
▸Total incontinence
CAUSES
▸Over-active bladder
▸Mental health problems
▸Poor muscle control
▸Medications
▸Prostate problems
▸Excess urine production
▸Secondary cause medical conditions
TREATMENT
▸Lifesyle changes
▸Bladder traing exercise
▸Medications
▸Coping strategies like diaper
MANAGEMENT
▸Drink fluids in moderation
▸Empty bladder completely
▸Loss weight
▸Avoid cofy or tea
▸Stop alchohol
▸Treat digestive problem
▸Pelvic floor exercise
▸Bladder training
▸Medications
PERCUTANEOUS TIBIAL NERVE
STIMULATIONS
BOTOX TREATMENT
THANK YOU

Urinary elimination