TIME-SENSITIVE โ assess severity and escalate if deteriorating.
๐ Recognise
Painful palpable bladder or inability to pass urine; possible neurological symptoms.
๐ First actions
Check renal function and bladder scan; catheterise where indicated with aseptic technique.
๐งช Investigate / reassess
Record drained volume, monitor post-obstructive diuresis when significant and seek cause.
โ ๏ธ Escalation / pitfalls
New saddle numbness or leg weakness requires emergency spinal pathway.
Editorial status: Teaching draft, specialist review required; the entire topic has not undergone independent clinical sign-off. Follow your trust guidelines and senior advice. Not a standalone treatment protocol.