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Updated: Oct 25, 2025
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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
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[How to manage acute urine retention?]
Anna L Emanuel1,2, Simone Stoots3, Eric A H M Joosten3
1Amsterdam UMC, afd. Interne Geneeskunde, Amsterdam.
Nederlands Tijdschrift Voor Geneeskunde
|August 4, 2021
Summary
Alpha-blocker treatment before urinary catheter removal significantly improves the chances of spontaneous urination. Catheter removal should occur within 3-5 days after addressing any underlying causes.
Area of Science:
- Urology
- Geriatrics
Background:
- Acute urinary retention (AUR) is a prevalent condition, particularly in elderly men.
- Indwelling urinary catheterization is the primary treatment for AUR.
- Current practices for catheter removal lack a standardized consensus.
Purpose of the Study:
- To summarize evidence-based recommendations for urinary catheter removal.
- To provide guidance on optimizing the success of spontaneous micturition after catheterization.
Main Methods:
- Literature review of available studies on catheter removal.
- Incorporation of expert opinion to formulate recommendations.
Main Results:
- Pre-treatment with alpha-blockers before catheter removal substantially increases the likelihood of spontaneous micturition (RR 1.39 [1.18-1.64]).
- Optimal timing for catheter removal is within 3 to 5 days post-insertion, following the resolution of precipitating factors like immobility, infection, or constipation.
Conclusions:
- Alpha-blocker therapy is a key recommendation to enhance successful catheter removal outcomes.
- Prompt management of provoking factors and timely catheter removal are crucial.
- Urological consultation is advised for persistent retention, recurrent episodes, or AUR in younger individuals and females.
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