[Clinical study of acute urinary retention]

Area of Science:

• Urology
• Clinical Medicine
• Medical Research

Context:

• Acute urinary retention (AUR) is a common urological emergency.
• Understanding the demographics, causes, and treatment outcomes of AUR is crucial for patient management.
• This study analyzes a 12-year period of AUR cases at a university hospital.

Purpose:

• To investigate the clinical characteristics, causes, treatments, and outcomes of acute urinary retention.
• To identify demographic trends and etiological factors contributing to AUR.
• To evaluate the effectiveness of various treatment modalities for AUR.

Summary:

• The study reviewed 206 cases of AUR, with 85% being male and 15% female.
• Bladder outlet obstruction (BOO), particularly benign prostatic hyperplasia (BPH), was the primary cause in men (70.3%), while detrusor weakness (DW) was more common in women (64.5%).
• Overall, 67.5% of patients regained spontaneous urination post-treatment, with surgery for BOO and clean intermittent catheterization (CIC) for DW being key interventions.

Impact:

• Findings highlight the male predominance and common causes of AUR, guiding clinical suspicion and diagnostic approaches.
• The study underscores the importance of addressing the underlying cause for successful treatment and recovery of urinary function.
• Results provide insights into treatment strategies, including surgical and conservative methods, for improving patient outcomes in AUR.