How do you evaluate and manage incidental urinary retention in hospitalized patients?

Another great question. First, we need to confirm the presence of urinary retention (>300 ml on postvoid residual [PVR] bladder scan is considered clinically significant to continue evaluating for common reversible causes, such as medications, structural abnormalities, presence of constipation, fecal impaction, immobility, delirium, post-operative state, or acute neurologic disease). Once urinary retention is confirmed, then straight catheterization and monitoring with a repeated bladder scan ar...