Prostate Volume and Serum Prostate–Specific Antigen as Predictors of Acute Urinary Retention

2000 ◽  
Vol 38 (5) ◽  
pp. 563-568 ◽  
Author(s):  
M.J. Marberger ◽  
J.T. Andersen ◽  
J.C. Nickel ◽  
M.-P. Malice ◽  
M. Gabriel ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Prostate Volume ◽  
Specific Antigen

scholarly journals Monotherapy versus combination therapy in the treatment of benign prostatic hyperplasia: A single center study

2020 ◽  
Vol 24 (3) ◽  
pp. 333-337
Author(s):  
Wishyar Al-Bazzaz ◽  
Omar Alkhayat ◽  
Ali AlKhayat
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Combination Therapy ◽  
Urinary Retention ◽  
Prostate Specific Antigen ◽  
Acute Urinary Retention ◽  
Prostate Volume ◽  
Combined Treatment ◽  
Specific Antigen ◽  
Prostatic Hyperplasia ◽  
Once Daily

Background and objectives: Most benign prostatic hyperplasia patients do not present obvious indicators for surgical intervention, so most of these patients are treated initially with medical therapy. This study aimed to compare the incidence of acute urinary retention after treatment with monotherapy with the incidence after combination therapy and determine the need for surgery in both methods. Methods: This is a retrospective study of the medical records of 248 benign prostatic hyperplasia patients who had attended Rizgary Teaching Hospital from May 2012 to June 2017. These patients were divided into two groups of 138 and 110 patients who have been treated by 0.4 mg tamsulosin capsule once daily and 0.4 mg tamsulosin capsule plus 5mg finasteride tablet once daily, respectively. Benign prostatic hyperplasia outcomes (acute urinary retention, benign prostatic hyperplasia related surgery) were compared between these two groups according to prostate volume and serum prostate specific antigen. Results: The combined treatment had significantly reduced the incidence of acute urinary retention and benign prostatic hyperplasia related surgery than monotherapy (P = 0.006 and 0.044, respectively). Similarly, when prostate volume and prostate specific antigen were above the cutoff value, both acute urinary retention and benign prostatic hyperplasia related surgery were lower in the combination therapy group than the monotherapy group. Conclusion: Combined therapy (0.4 mg tamsulosin plus 5mg finasteride) was significantly superior to 0.4 mg tamsulosin alone in the reduction of the incidence of acute urinary retention and benign prostatic hyperplasia related surgery among benign prostatic hyperplasia patients. Keywords: Benign prostatic hyperplasia; Acute urinary retention; Benign prostatic hyperplasia related surgery; Prostate volume; Prostate specific antigen.

Malakoplakia prostate presenting as urinary retention: a report of two cases and review of the literature

2021 ◽  
Vol 14 (7) ◽  
pp. e243927
Author(s):  
Swaroop Subbaraya ◽  
Ajit Sawant ◽  
Prakash Pawar ◽  
Sunil Patil
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Specific Antigen ◽  
Transrectal Ultrasound ◽  
Transurethral Resection Of Prostate ◽  
Review Of The Literature ◽  
Ultrasound Guided ◽  
Prostatic Biopsy ◽  
Chronic Inflammatory Condition

Malakoplakia is a rare chronic inflammatory condition, which primarily occurs in genitourinary tract, with prostatic malakoplakia being extremely rare. We present two cases of acute urinary retention, with clinically firm nodular prostate and a raised serum prostate-specific antigen. Transrectal ultrasound-guided prostatic biopsy showed features of malakoplakia. There was a significant reduction of size of prostate on transrectal ultrasonography after 4 weeks of antibiotics. However, one patient had failed trial without catheter and was subjected to transurethral resection of prostate. The biopsy of the prostatic chips also showed features of malakoplakia. Other patient improved symptomatically after antibiotics and was managed conservatively. Both the patients are on regular follow-up and are asymptomatic. Prostatic malakoplakia presenting as urinary retention is very uncommon with around 12 cases in the literature. Recognition of prostatic malakoplakia is important because clinically it can masquerade prostatic malignancy. Treatment with antibiotics is necessary before subjecting the patients for surgery in patients with obstructive symptoms.

scholarly journals Diethylstilbestrol 1 mg in the Treatment of Acute Urinary Retention due to Prostatic Obstruction in the Elderly: A Preliminary Study

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Leonardo Oliveira Reis ◽  
Gustavo Borges De Mendonça ◽  
Bruno D. Carneiro ◽  
Edson Schneider ◽  
Eduardo Varella Gewehr ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Prostate Volume ◽  
Urine Volume ◽  
The Elderly ◽  
Upper Urinary Tract ◽  
Transurethral Resection Of Prostate ◽  
Free Trial ◽  
Tract Dilation

Patients who failed a catheter-free trial after acute urinary retention and one week of full dose alpha-blocker and 5-alpha-reductase inhibitor were offered Diethylstilbestrol 1 mg plus Aspirin 100 mg over 4 weeks. Prostate volume, age, serum creatinine, and initial retention drained urine volume were recorded. After excluding cardiovascular morbidity (n=7), upper urinary tract dilation (n=3), compromised renal function (n=2), urinary tract infection (n=2), neurological diagnosis (n=2), or preferred immediate channel transurethral resection of prostate (n=5), 48 of 69 consecutive patients ≥70 years were included. Mean age was 76.6 years (70–84), mean prostate volume 90 cm3(42–128), and mean follow-up 204 days; 58% (28/48) were passing urine and 42% (20/48) were catheter dependent after 4 weeks Diethylstilbestrol trial. Mean age and drained urine volume of catheter dependent patients were 82.4 years and 850 mL compared with 74.6 years and 530 mL in catheter-free men, respectively. Age and drained urine volume were independent predictors of catheter-free trial (bothP<0.01). Seventy-five percent (6/8) of patients 80 years and older were catheter dependent. Transient nipple/breast tenderness and gynecomastia were the only adverse effects reported by 21% (10/48) and 4% (2/48), respectively. No patient presented severe complications.

1580 IMPACT OF PROSTATE SPECIFIC ANTIGEN, PROSTATIC SIZE AND HISTOPATHOLOGY ON ACUTE URINARY RETENTION

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Huseyin Cihan Demirel ◽  
Cevdet Serkan Gökkaya ◽  
Cuneyt Ozden ◽  
Binhan Kagan Aktas ◽  
Suleyman Bulut ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Prostate Specific Antigen ◽  
Acute Urinary Retention ◽  
Specific Antigen

scholarly journals Predictive Factors for Acute Urinary Retention After Transperineal Template-Guided Mapping Biopsy

2021 ◽  
Vol 19 (3) ◽  
pp. 148-154
Author(s):  
Si Hyun Sung ◽  
Chung Un Lee ◽  
Jae Hoon Chung ◽  
Wan Song ◽  
Minyong Kang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Urinary Retention ◽  
Predictive Factors ◽  
Odds Ratio ◽  
Multivariate Regression ◽  
Acute Urinary Retention ◽  
Prostate Volume ◽  
Common Complication ◽  
Multivariate Regression Model ◽  
Mapping Biopsy

Purpose: We investigated the predictive factors for acute urinary retention (AUR) after transperineal template-guided mapping biopsy (TTMB).Materials and Methods: We retrospectively reviewed the records of 459 patients who had undergone TTMB between May 2017 and July 2020. Overall complications after TTMB were analyzed and categorized according to the Clavien-Dindo classification. Factors that were likely to affect AUR were analyzed using a logistic regression model.Results: Overall complications after TTMB were observed in 95 of the 459 patients (20.7%), of which AUR was the most commonly reported (17.4%, n=80), followed by hematuria (3.1%, n=14). Hematuria in one patient was categorized as Clavien-Dindo grade IIIa. All remaining complications were Clavien-Dindo grade I. In the multivariate regression model, age ≥65 (odds ratio, 2.44; 95% confidence interval [CI], 1.42–4.17; p=0.001), prostate volume ≥30 mL (odds ratio, 3.72; 95% CI, 1.19–11.62; p<0.02), and number of biopsy cores ≥30 (odds ratio, 2.89; 95% CI, 1.29–6.43; p=0.01) were identified as the predictors for AUR after TTMB.Conclusions: AUR is the most common complication after TTMB. Age ≥65 years, prostate volume ≥30 mL, and number of biopsy cores ≥30 were significant predictors of AUR following TTMB.

scholarly journals Relationship of Prostate-Specific Antigen (PSA) and Prostate Volume in Patients with Biopsy Proven Benign Prostatic Hyperplasia (BPH)

2020 ◽  
Vol 4 (2) ◽  
pp. 171
Author(s):  
Aulia Nur Fadila ◽  
Anny Setijo Rahaju ◽  
Tarmono Tarmono
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Prostate Specific Antigen ◽  
Acute Urinary Retention ◽  
Prostate Volume ◽  
Specific Antigen ◽  
Prostatic Hyperplasia ◽  
Benign Tumors ◽  
Relationship Of ◽  
The Relationship ◽  
Histopathology Examination

Abstract  Benign prostatic hyperplasia (BPH) is one of the most common benign tumors in men with prevalence ranging from 50% for men in their 60s to 90% for men in their 80s. The researcher sought to determine the relationship of prostate-specific antigen (PSA) and prostate volume in patients with benign prostatic hyperplasia. This study was based on 33 cases of benign prostatic hyperplasia in the Department of Urology, RSUD Dr. Soetomo Surabaya that diagnosed by histopathology examination. Cases with malignancy, acute urinary retention and prostatitis were excluded. The variables of prostate-specific antigen and prostate volume were examined. The results of this study found that 33 men were enrolled with mean PSA 16,04 ng/ml and a mean prostate volume of 49,13 ml. Overall, 84,8% had PSA level >4 ng/ml and 90,9% had prostate volume >25 ml. Prostate-specific antigen has significant correlation with prostate volume (p=0,019; r=0,362). This study concluded that prostate-specific antigen and prostate volume showed a significant correlation. Keywords             : benign prostatic hyperplasia, prostate specific antigen, prostate volumeCorrespondence   : [email protected]

scholarly journals A clinico pathological study and management of benign enlargement of prostate

2018 ◽  
Vol 5 (4) ◽  
pp. 1275 ◽  
Author(s):  
Ashish Mor ◽  
Surender Mohan Sharma ◽  
Sujoy Mukherjee ◽  
Rishi Jindal
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Prostate Volume ◽  
Stone Formation ◽  
Prostate Gland ◽  
Digital Rectal Examination ◽  
Pathological Study ◽  
Significant Relation ◽  
Residual Urine ◽  
Severe Group

Background: Benign prostatic hyperplasia (BPH) is the non-malignant enlargement of the prostate gland. Prolonged obstructions may eventually lead to acute urinary retention, recurrent urinary tract infection, hematuria, bladder calculi, and renal insufficiency.Methods: Hundred cases of benign enlargement of prostate were studied from November 2015 to 2016. Patients diagnosed as benign enlargement of prostate by clinical digital rectal examination, investigation like USG were included in this study. Patients with urinary retention due to strictures and urolithiasis, carcinoma were excluded.Results: Mean age of presentation was 64.4, and 34% were found to be in severe group of IPSS grading. There was a significant co-relation between the PVRU and prostate volume. There were 16% cases of acute urinary retention, 2% cases presented with bladder stones. Benign enlargement of prostate, IPSS score, Post voidal residual urine has a weak correlation with the increasing age as observed.Conclusions: Benign enlargement of prostate is a disease of elderly with peak incidence in the 5th and 6th decade of life, BPH has co-relation with inguinal hernia, AUR which is 16%. There was no correlation between the age of the patient and the severity of symptoms with respect to IPSS score. There was no correlation between the age of the patient and the severity of symptoms with respect to IPSS score. In present study there was a statistically significant relation were found between prostate volume and post voidal residual urine. Large amount of residual urine is the indication for surgery because it predisposes to infections and stone formation.

Sign in / Sign up

Export Citation Format

Share Document