A 71-year-old man cannot void 8 hours after inguinal hernia repair under spinal anesthesia. He has suprapubic discomfort and bladder scan shows 650

Question

A 71-year-old man cannot void 8 hours after inguinal hernia repair under spinal anesthesia. He has suprapubic discomfort and bladder scan shows 650 mL. He takes tamsulosin for BPH. Vital signs are normal. Which of the following is the most appropriate next step in management?

Accepted Answer

Perform bladder catheterization

Answer

Order immediate cystectomy

Answer

Start broad-spectrum antibiotics

Answer

Observe despite painful retention

Answer

Give IV furosemide

Postoperative urinary retention — USMLE Step 3 MCQ

A 71-year-old man cannot void 8 hours after inguinal hernia repair under spinal anesthesia. He has suprapubic discomfort and bladder scan shows 650 mL. He takes tamsulosin for BPH. Vital signs are normal. Which of the following is the most appropriate next step in management?