Question 242 · LEK · Postoperative period
A frequent complication after abdominal surgery is urinary retention. The symptoms include pain within the hypogastric region and excessive filling of the bladder along with inability to initiate micturition. The appropriate treatment procedures of postoperative urinary retention should start with:
- A. rapid intravenous infusion of 1000 ml normal saline (0.9% NaCl) and then 40 mg oral furosemide.
- B. urinary tract catheterization for 2-3 days.
- C. nephrostomy.
- D. oral tamsulosin (rec. α1 antagonist) until normal diuresis.
- E. haemodialysis, since post-operative urinary retention is always due to acute kidney failure. 82 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
Hint
Consider the simplest immediate way to empty a distended bladder in a patient who cannot void after surgery.
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