Why urinary retention and fecal retention cause confusion?

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SUMMARY

The discussion centers on the relationship between urinary retention and confusion, particularly in patients experiencing urinary retention due to conditions such as an enlarged prostate, prostate surgery, or radiation treatments. Participants clarify that while urinary retention can lead to confusion, it is often linked to the central nervous system's response, specifically the release of catecholamines, rather than direct physiological causes. The phenomenon known as cystocerebral syndrome is mentioned, highlighting the complexity of the mental state changes associated with urinary retention.

PREREQUISITES
  • Understanding of urinary retention and its causes, particularly in relation to prostate conditions.
  • Familiarity with the concept of cystocerebral syndrome and its implications.
  • Knowledge of the central nervous system's response to stress and catecholamine release.
  • Basic understanding of the anatomical relationship between the bladder and sigmoid colon.
NEXT STEPS
  • Research the effects of prostate surgery on urinary retention and mental state changes.
  • Learn about cystocerebral syndrome and its clinical implications.
  • Investigate the role of catecholamines in stress responses and their effects on cognition.
  • Explore the anatomical and physiological relationship between the bladder and sigmoid colon.
USEFUL FOR

Medical professionals, particularly urologists and neurologists, students in medical fields, and anyone interested in the neurological effects of urinary retention.

sameeralord
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Hello everyone,

I'm talking about retaining urine in the bladder,not renal failure, so I can't think of uraemia as a course. So what is the reason behind this. Thanks :)
 
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I do not understand the question posed in your subject line. What confusion are you talking about?

Retention of the urine in the bladder can easily be caused by an enlarged prostate and/or prostate surgery and/or prostate radiation treatments but that does not, as far as I know, have any impact at all on excretion and none of that is confusing.
 
phinds said:
I do not understand the question posed in your subject line. What confusion are you talking about?

Retention of the urine in the bladder can easily be caused by an enlarged prostate and/or prostate surgery and/or prostate radiation treatments but that does not, as far as I know, have any impact at all on excretion and none of that is confusing.

Maybe the OP's problem isn't the retention, it's the confusion about what is being retained.
 
Bladder and sigmoid colon are next to each other - if one is distended the other feels pressure. Or if you prefer, they are neighbors positioned too close for comfort.

More importantly - why do you ask so many questions like this? They look like exam questions, kind of, to me. Are you having trouble in class? Maybe we could help.
 
jim mcnamara said:
More importantly - why do you ask so many questions like this? They look like exam questions, kind of, to me. Are you having trouble in class? Maybe we could help.

Whenever I had a tough exam, retention was not the problem. :wink: :rolleyes:
 
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I think OP is referring to the delirium associated with certain patients presenting with urinary retention, that was referred to as cystocerebral syndrome. AFAICT, this phenomenon is not completely understood, but it has been suggested that the central nervous response to the stress involves excess release of catecholamines. It's been suggested that this response is similar to other changes in mental state without direct complaint of pain, such as dysphoria associated with hypoglycemia.
 
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sameeralord said:
Hello everyone,

I'm talking about retaining urine in the bladder,not renal failure, so I can't think of uraemia as a course. So what is the reason behind this. Thanks :)
Please respond with what you mean, people are making wild guesses.
 
Thanks fzero yes delirium was what i was thinking about. :)
 

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