Clinical Nursing of Indwelling Catheter for Patients with Benign Prostatic Hyperplasia Complicated with Acute Urinary Retention

Objectives: To analyze current practice of management of acute urinary retention (AUR) in men above 40 years of age at B.P.Koirala Institute of Health Sciences, Nepal. Materials and methods: A total of 68 patients (aged 50-91 years) presenting with indwelling catheter for AUR were included in the study. Because of lack of clear guideline and limited health care facility in our setup trial without catheter (TWOC) was given selectively depending mainly on preexisting symptoms. AUR presumed to be due to urinary tract infection received only antibiotic and others diagnosed of benign prostatic hyperplasia (BPH) received alfa1 blocker prior to TWOC. TWOC was given 3-15 days after such treatment. Those satisfied without catheter for at least a week were considered successful TWOC. Results: The data was available for 68 patients (mean age 66.1 years). Of 15 patients treated with antibiotic alone, 11 (73.3 %) had successful TWOC. Of 57 with presumptive diagnosis of BPH, 68.9% (31 of 45) had successful TWOC. Mean age, symptom score and prostate volume were higher for patients with unsuccessful TWOC. Conclusion: Selective TWOC may be imperative to minimize unnecessary suffering from AUR in less easily accessible health care facilities like ours. It may also reduce total cost of treatment. Key words: Acute urinary retention, benign prostatic hyperplasia, trial without catheter doi: 10.3126/kumj.v6i4.1733 Kathmandu University Medical Journal (2008), Vol. 6, No. 4, Issue 24, 448-452

Download Full-text

MODELING AN APPROACH TO THE TREATMENT OF ACUTE URINARY RETENTION IN BENIGN PROSTATIC HYPERPLASIA

"Medical & pharmaceutical journal "Pulse" ◽

10.26787/nydha-2686-6838-2020-22-4-82-87 ◽

2020 ◽

Vol 22 (4) ◽

pp. 82-87

Author(s):

S.M. Pikalov ◽

A.A. Zimichev ◽

D.O. Gusev ◽

P.V. Sumsky ◽

A.D. Adilov ◽

...

Keyword(s):

Benign Prostatic Hyperplasia ◽

Urinary Retention ◽

Acute Urinary Retention ◽

Prostatic Hyperplasia

Download Full-text

Faculty Opinions recommendation of Management of acute urinary retention: a worldwide survey of 6074 men with benign prostatic hyperplasia.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.13414971.14861076 ◽

2012 ◽

Author(s):

Stavros Gravas

Keyword(s):

Benign Prostatic Hyperplasia ◽

Urinary Retention ◽

Acute Urinary Retention ◽

Prostatic Hyperplasia

Download Full-text

The management of acute urinary retention in France: a cross-sectional survey in 2618 men with benign prostatic hyperplasia

BJU International ◽

10.1111/j.1464-410x.2006.06109.x ◽

2006 ◽

Vol 97 (4) ◽

pp. 727-733 ◽

Cited By ~ 50

Author(s):

FRANCOIS DESGRANDCHAMPS ◽

ALEXANDRE DE LA TAILLE ◽

JEAN-DOMINIQUE DOUBLET ◽

Keyword(s):

Benign Prostatic Hyperplasia ◽

Urinary Retention ◽

Acute Urinary Retention ◽

Prostatic Hyperplasia ◽

Cross Sectional Survey ◽

Cross Sectional

Download Full-text

Abstract No. 3: Quality of life and symptoms relief support prostatic artery embolization for patients with acute urinary retention due to benign prostatic hyperplasia

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2011.12.036 ◽

2012 ◽

Vol 23 (3) ◽

pp. S4

Author(s):

F.C. Carnevale ◽

J.M. Motta Leal Filho ◽

A.A. Antunes ◽

L.M. Cerri ◽

R.H. Baroni ◽

...

Keyword(s):

Quality Of Life ◽

Benign Prostatic Hyperplasia ◽

Urinary Retention ◽

Acute Urinary Retention ◽

Prostatic Hyperplasia ◽

Artery Embolization ◽

Prostatic Artery Embolization ◽

Prostatic Artery

Download Full-text

SIGNIFICANCE OF NON-INVASIVE SONO-MORPHOLOGICAL MARKERS IN THE EVALUATION OF BLADDER OUTLET OBSTRUCTION AND ACUTE URINARY RETENTION SECONDARY TO BENIGN PROSTATIC HYPERPLASIA

10.36106/ijsr/5423553 ◽

2021 ◽

pp. 5-9

Author(s):

Prasenjit Bhowmik ◽

Soumendranath Mandal ◽

Gaurav Sharma ◽

Bandhan Bahal ◽

Prashant Gupta ◽

...

Keyword(s):

Benign Prostatic Hyperplasia ◽

Diagnostic Accuracy ◽

Urinary Retention ◽

Bladder Outlet Obstruction ◽

Acute Urinary Retention ◽

Bladder Wall ◽

Outlet Obstruction ◽

Threshold Value ◽

Prostatic Hyperplasia ◽

Control Group

Objectives: To dene the diagnostic accuracy of intravesical protrusion of prostate (IPP), bladder wall thickness (BWT) and prostate volume (PV) in diagnosis of bladder outlet obstruction (BOO) and prediction of future acute urinary retention (AUR). A prospective Materials and methods: study of 127 patients, presenting with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (BPH) were enrolled with 50 patients among them manifesting AUR. 35 normal persons were selected as control group. After inclusion, all patients underwent transabdominal ultrasound and pressure ow urodynamic study (UDS). UDS parameter, BOO index (BOOI) were used as a reference standard for stratifying the patients into two groups, BOO and non-BOO. The sono-morphological parameters, IPP, BWT and PV were used to compare between these two groups with calculating the diagnostic accuracy for each individual index. IPP, BWT Results: and PV had statistically signicant difference between group 1 (BOOI < 40) and 2 ( BOOI > 40) with strong correlation with BOOI. The Pearson's correlation coefcient (r) for IPP, BWT and PV were 0.762, 0.702 and 0.660 respectively. The AUC for IPP, BWT and PV were 0.824, 0.786 and 0.650 with highest accuracy for IPP (79.2%) at cutoff value of 7 mm. Using the same threshold value, IPP had higher statistical difference than BWT in predicting AUR with similar diagnostic accuracy of IPP and BWT together. IPP and BWT in conjunction with PV in place Conclusions: of UDS had good clinical utility in diagnosis of BOO due to BPH and future AUR prediction.

Download Full-text