Natália Jankovičová, Vladimír Nosáľ, Ján Grossmann, Jozef Michalik, Egon Kurča
Psychogenic urinary retention is a rarely diagnosed medical problem. The resulting condition of the patient is not due to organic causes and excludes the possibility of rare and minimal neurological causes such as „silent“ intervertebral disc prolapse or early stage of multiple sclerosis. In the literature the most commonly reported are cases of women in early adulthood with a history of disturbed social relationships, or psychological trauma. The causal relationship between psychological trauma and the onset of symptoms of urinary retention leads to the acceptation of the diagnosis of psychogenic retention. Patient management is led by a psychiatrist and urologist, consisting of psychotherapy, urination training and practicing intermittent catheterization of urinary bladder. We present a case of 27 - year old patient treated for recurrent urinary tract infections with the development of acute urinary retention. After realisation of the complex of clinical and other examinations we have not shown a clear organic cause of the disorder. We were able to uncover some psychotraumatic experiences from the past that on the basis of structured sensitive personality are likely to lead to clinical outcome.