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Paediatric Acute Urinary Retention in Central Queensland
Samah Nasr1, Jian Yang Lim2, Saseema Sammani Nugapitiya3
1Paediatric Registrar, Townsville Hospital, Douglas, Queensland, Australia.
Journal of Paediatrics and Child Health
|January 17, 2025
Summary
Paediatric acute urinary retention (PAUR) incidence increased over time in regional Australia. Common causes include post-operative issues, medications, and urinary tract infections, with early diagnosis and treatment proving effective.
Area of Science:
- Urology
- Paediatric Medicine
- Public Health
Background:
- The causes of paediatric acute urinary retention (PAUR) are not well-documented in Australasian literature.
- This study addresses the lack of data on PAUR incidence and etiology in regional Australia.
Purpose of the Study:
- To document the incidence, causes, and time to diagnosis and treatment of PAUR in children in regional Australia.
- To identify common etiologies and assess the timeliness of medical interventions for PAUR.
Main Methods:
- A retrospective study was conducted on children aged 0-17 years presenting with PAUR between 2008 and 2018.
- Data were extracted from patient files at two regional hospitals, focusing on documented cases of acute urinary retention.
Main Results:
- 56 presentations from 53 children were analyzed, with a male-to-female ratio of 1.4:1.
- The incidence of PAUR significantly increased over the study period (p < 0.05).
- Common causes included post-operative factors (23%), medications (13%), urinary tract infections (UTI) (11%), phimosis/balanitis (11%), and fecal impaction (11%). Median time to diagnosis was 3 hours, and median time to treatment was 0 hours.
Conclusions:
- Post-operative complications, medication use, UTI, phimosis/balanitis, and fecal impaction are key causes of PAUR, offering intervention opportunities.
- The incidence of PAUR has significantly increased over time.
- Diagnosis and treatment for PAUR were generally prompt in the studied population.
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