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Related Experiment Videos

Post-operative retention associated with acute prostatic infarction

J R Strachan1, C M Corbishley, R J Shearer

  • 1Department of Urology, St George's Hospital, London.

British Journal of Urology
|September 1, 1993
PubMed
Summary

Post-operative urinary retention after surgery is linked to acute prostatic infarction. This condition is associated with prolonged hypotension, smoking, and cardiovascular disease, highlighting key risk factors.

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Area of Science:

  • Urology
  • Surgical Complications
  • Prostate Health

Background:

  • Post-operative urinary retention (POUR) is a common complication following various surgical procedures.
  • Transurethral resection of the prostate (TURP) is a procedure often performed for benign prostatic hyperplasia or prostate cancer.
  • Understanding the underlying causes of POUR is crucial for patient management and preventative strategies.

Purpose of the Study:

  • To investigate the incidence and potential causes of acute prostatic infarction in patients experiencing post-operative retention.
  • To compare histological findings in patients with post-operative retention versus those with acute retention.

Main Methods:

  • A comparative study involving 21 patients with post-operative retention requiring TURP.

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  • Inclusion of a control group of patients with acute retention.
  • Histological examination of prostate tissue to identify acute prostatic infarction.

    • Main Results:

    • Significantly increased histological evidence of acute prostatic infarction was observed in the post-operative retention group.
    • Prolonged operative hypotension was identified as a significant risk factor associated with acute prostatic infarction.
    • Smoking and pre-existing cardiovascular disease were also found to be associated with acute prostatic infarction.

    Conclusions:

    • Acute prostatic infarction is more prevalent in patients with post-operative urinary retention.
    • Perioperative hypotension, patient smoking status, and cardiovascular comorbidities are significant contributing factors to acute prostatic infarction.