TY - JOUR T1 - Acute urinary retention in a 4-year-old girl JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 367 LP - 368 DO - 10.1136/archdischild-2018-316419 VL - 105 IS - 6 AU - Daniela Capalbo AU - Stefano Guarino AU - Gianpiero Iannuzzo AU - Mario Cirillo AU - Emanuele Miraglia del Giudice AU - Angela La Manna AU - Andrea Apicella AU - Pierluigi Marzuillo Y1 - 2020/12/01 UR - http://ep.bmj.com/content/105/6/367.abstract N2 - A 4-year-old girl with a history of urinary incontinence without urgency, and eight non-febrile episodes of urinary tract infections (UTIs) during the last 6 months commenced treatment with oxybutynin, after normal cystography and a renal ultrasound that showed bladder wall thickening, with normal-sized kidneys and ureters. She also had a history of constipation.She presented 15 days later with acute urinary retention. On the day of presentation, the patient was passing only small volumes of urine despite a pelvic ultrasound showing about 500 mL of urine in the bladder (overflow incontinence). Physical and neurological examinations were unremarkable. Creatinine and blood pressure were normal.Foley catheter was placed to obtain bladder voiding. Uroflowmetry was not performed because the patient was not able to obtain a spontaneous and recordable micturition. Oxybutynin therapy was stopped and constipation was treated with macrogol.1 … ER -