How to treat elderly people with urinary tract infections with urinary retention?

Question
Hello doctor,
My grandfather is 90 years old, currently suffering from urinary tract infection, has not urinated for about 7 days. Now, the doctor suggests opening a hole for defecation in the abdomen. Please ask the elderly doctor how to treat urinary tract infections with urinary retention? Thanks for the advice doctor.
Huynh Trung Huy Vu (1971)
Answer
Answered by Master, Doctor Vu Ngoc Thang - Center for Digestive - Hepatobiliary - Urology, Vinmec Times City International General Hospital.
Hello,
With the question “How are the elderly with urinary tract infections with urinary retention treated? ", the doctor answered as follows:
Urinary retention has many causes: Due to prostate enlargement, bladder tumor, prostate cancer, urethral stricture, due to external causes. into the bladder like colon cancer...
Therefore, to accurately diagnose the cause, it is necessary for the patient: Blood tests, tests for markers of cancer, Ultrasound of the abdomen - urinary system and yes CT scan or magnetic resonance imaging may be required to diagnose the disease.
Indications for suprapubic bladder drainage are often indicated for patients with urinary retention who are no longer able to operate (such as multiple diseases or terminal cancer, or too weak health...). Therefore, to be able to advise him correctly, you need to take him to the hospital so that the doctor can examine him specifically.
If you still have questions about elderly people suffering from urinary tract infections with urinary retention, you can go to a medical facility under Vinmec Health System for early examination and treatment. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!