Clot retention occurs as a sequal to bleeding in the urological tract. Large clots can become wedged in the urethra and cause acute urinary retention.
It can be seen under any circumstance where there is macroscopic haematuria, but patients are most susceptible post operatively if bladder irrigation is not sufficient; they suffer from clot retention within the catheter.
Treatment of the non operated patient is catheterisation with a three way catheter, with irrigation. In the post operative patient attempts should be made to mechanically free the clot.
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