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High pressure chronic retention.

N J George, P H O'Reilly, R J Barnard

    British Medical Journal (Clinical Research Ed.)
    |June 4, 1983
    PubMed
    Summary
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    High pressure chronic retention, a urinary tract disorder, often presents with late enuresis and hypertension in elderly patients. Early intervention can lead to satisfactory recovery.

    Area of Science:

    • Urology
    • Nephrology
    • Geriatric Medicine

    Background:

    • High pressure chronic retention is a newly defined urinary tract disorder.
    • It is characterized by specific clinical, urodynamic, and renographic findings.
    • The condition can lead to severe complications including renal impairment and death.

    Purpose of the Study:

    • To analyze the presentation and findings in patients with high pressure chronic retention.
    • To understand the urodynamic, renographic, and operative characteristics of the disorder.
    • To evaluate the potential for recovery after appropriate management.

    Main Methods:

    • Prospective study design.
    • Analysis of 21 patients.
    • Inclusion of urodynamic, renographic, and operative findings.

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    Main Results:

    • Patients are commonly elderly.
    • Key symptoms include late onset enuresis and cardiac decompensation.
    • Obstructive urological symptoms are often absent.
    • Bilateral hydronephrosis and hydroureter are common, leading to renal impairment and uraemia.

    Conclusions:

    • High pressure chronic retention is a distinct clinical entity.
    • Elderly patients may present with non-urological symptoms like enuresis or cardiac issues.
    • Transurethral resection and proper management can result in satisfactory patient recovery.