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Intravenous urography after acute urinary retention
1Kingston General Hospital, Kingston upon Thames, Surrey.
Annals of the Royal College of Surgeons of England
|March 1, 1989
Summary
Intravenous urography is not recommended for managing acute urinary retention in men without blood in their urine. This prospective study found no benefit in using this imaging technique for such cases.
Area of Science:
- Urology
- Diagnostic Imaging
Background:
- Acute urinary retention is a common urological emergency.
- Intravenous urography has been historically used in the workup of urinary retention.
- The utility of intravenous urography in specific patient populations requires evaluation.
Purpose of the Study:
- To evaluate the role of intravenous urography in the management of acute urinary retention.
- To determine if intravenous urography provides additional diagnostic or therapeutic information in men with acute urinary retention and no haematuria.
Main Methods:
- A 12-month prospective study.
- Inclusion of 113 male patients presenting with acute urinary retention.
- Exclusion of patients with haematuria.
Main Results:
- Intravenous urography did not alter patient management in this cohort.
- No significant findings were identified by intravenous urography that changed clinical decisions.
- The diagnostic yield of intravenous urography was negligible in this specific clinical scenario.
Conclusions:
- Intravenous urography is not indicated for the routine management of acute urinary retention in men without haematuria.
- Clinical decision-making and patient outcomes were not improved by the use of intravenous urography.
- Alternative diagnostic strategies should be considered for patients with acute urinary retention and no haematuria.