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Predictive variables of spontaneous micturition recovery after acute urinary retention in men with benign prostatic enlargement: An observational prospective study
- Publication Year :
- 2018
- Publisher :
- Blackwell Publishing, 2018.
-
Abstract
- Objective: Acute urinary retention (AUR) is the sudden and painful inability to urinate spontaneously. AUR is one of the most significant complications of benign prostatic enlargement. The management of AUR is based on transurethral catheterization. Subsequent therapy is uncertain, but AUR seems to benefit from the use of alpha-blockers. The aim of this study was to evaluate the variables that could predict which patients would recover spontaneous micturition after trial without catheter. Methods: The present prospective observational study included men with AUR in an Italian tertiary care institute in 2016. Patients were catheterized and treated orally with fluoroquinolones, alpha-blockers, and Serenoa repens extracts. Preoperative variables as age, C-reactive protein (CRP), previous prostate-specific antigen values, urinary retention volume, prostate volume, and scores on a modified International Prostate Symptom Score questionnaire (IPSS-4), were investigated in relation to spontaneous micturition recovery. Results: Mean (±SD) age was 68.4 ± 7.1 years. Spontaneous and valid micturition recovery was observed in 11 patients (29.7%), whereas 26 (70.3%) needed to be catheterized again. The IPSS-4 score was significantly lower (9 vs 17; P
- Subjects :
- Male
medicine.medical_specialty
Neurology
media_common.quotation_subject
Urology
030232 urology & nephrology
Prostatic Hyperplasia
Urination
Severity of Illness Index
C-reactive protein
03 medical and health sciences
0302 clinical medicine
Prostate
medicine
Humans
Prospective Studies
acute urinary retention
Prospective cohort study
media_common
Aged
spontaneous micturition recovery
International Prostate Symptom Score
biology
Urinary retention
business.industry
Area under the curve
Organ Size
Recovery of Function
Middle Aged
Urinary Retention
medicine.anatomical_structure
ROC Curve
030220 oncology & carcinogenesis
Area Under Curve
Acute Disease
biology.protein
medicine.symptom
business
Urinary Catheterization
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....9f89ba237df3e6939d652d53a850cdbf