{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T05:43:03Z","timestamp":1783575783703,"version":"3.55.0"},"reference-count":6,"publisher":"BMJ","issue":"6380","license":[{"start":{"date-parts":[[1983,6,4]],"date-time":"1983-06-04T00:00:00Z","timestamp":423532800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1983,6,4]]},"abstract":"<jats:p>In a prospective study of high pressure chronic retention, a newly defined disorder of the urinary tract, 21 patients were analysed for their mode of presentation and urodynamic, renographic, and operative findings. High pressure chronic retention is characterised by late onset enuresis, a tense, palpable bladder, hypertension, and progressive renal impairment associated with bilateral hydronephrosis and hydroureter commonly leading to uraemia and death. Obstructive urological symptoms are typically absent in uncomplicated cases. The study confirmed that patients with the disorder are commonly elderly and present, not necessarily to a urologist, with late onset enuresis or symptoms of cardiac decompensation. After transurethral resection the patients, if correctly managed, may be expected to make a satisfactory recovery.<\/jats:p>","DOI":"10.1136\/bmj.286.6380.1780","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1780-1783","source":"Crossref","is-referenced-by-count":87,"title":["High pressure chronic retention."],"prefix":"10.1136","volume":"286","author":[{"given":"N J","family":"George","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P H","family":"O'Reilly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R J","family":"Barnard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N J","family":"Blacklock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1983,6,4]]},"reference":[{"key":"ref_1","article-title":"Principles of transurethral resection and haemostasis. Ch 18","author":"Mitchell, J.P.","year":"1972","unstructured":"Mitchell JP. Principles of transurethral resection and haemostasis. Ch 18. Bristol: John Wright, 1972."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1136\/bmj.2.6147.1258","article-title":"Urodynamic findings in chronic retention and their relevance to results of surgery","volume":"7","author":"Abrams, P.H.; Dunn, M.; George, N.J.R.","year":"1978","unstructured":"Abrams PH, Dunn M, George NJR. Urodynamic findings in chronic retention and their relevance to results of surgery. Br Med 7 1978;ii: 1258-60.","journal-title":"Br Med"},{"issue":"506-10","key":"ref_3","first-page":"4","article-title":"Hesitancy and poor stream in younger men without outflow tract obstruction-the anxious bladder","volume":"51","author":"George, N.J.R.; Slade, N.","year":"1979","unstructured":"George NJR, Slade N. Hesitancy and poor stream in younger men without outflow tract obstruction-the anxious bladder. Br J Urol 1979;51: 506-10. 4O'Reilly PH, Shields RA, Testa HJ. Nuclear medicine in urology and nephrology. London-Boston: Butterworths, 1979.","journal-title":"Br J Urol; Nuclear medicine in urology and nephrology"},{"key":"ref_4","author":"thesis, Mitchell J.P.M.S.","year":"1955","unstructured":"Mitchell JP. MS thesis. University of London, 1955.","journal-title":"London"},{"key":"ref_5","year":"1983","unstructured":"(Accepted 31 March 1983)"},{"key":"ref_6","article-title":"During February 1981 to February 1982, 2789 infants were admitted to the postnatal wards, and 29 of them were transferred to the special care unit with a raised respiratory rate (table). Four had evidence of colonisation or infection with group B streptococci and one had heart failure due to hypoplastic left heart syndrome. Nine had a raised respiratory rate for only a few hours and were given no treatment, but the remaining 19 had a raised respiratory rate for a considerable period and received antibiotics","unstructured":"During February 1981 to February 1982, 2789 infants were admitted to the postnatal wards, and 29 of them were transferred to the special care unit with a raised respiratory rate (table). Four had evidence of colonisation or infection with group B streptococci and one had heart failure due to hypoplastic left heart syndrome. Nine had a raised respiratory rate for only a few hours and were given no treatment, but the remaining 19 had a raised respiratory rate for a considerable period and received antibiotics."}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.286.6380.1780","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.286.6380.1780","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T21:31:50Z","timestamp":1765315910000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.286.6380.1780"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,6,4]]},"references-count":6,"journal-issue":{"issue":"6380","published-online":{"date-parts":[[1983,6,4]]},"published-print":{"date-parts":[[1983,6,4]]}},"alternative-id":["10.1136\/bmj.286.6380.1780"],"URL":"https:\/\/doi.org\/10.1136\/bmj.286.6380.1780","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"value":"0007-1447","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1983,6,4]]}}}