Very high residual volumes should not prevent transurethral resection of the prostate being offered to men presenting with urinary retention

Autor:	Nick Campain, Thomas J. Walton, Richard Parkinson, Amjad Peracha, William Green, Hari Ratan
Rok vydání:	2014
Předmět:	Male medicine.medical_specialty Urology medicine.medical_treatment Urine Lower Urinary Tract Symptoms Lower urinary tract symptoms Diabetes mellitus medicine Humans Trial without catheter Transurethral resection of the prostate Aged Retrospective Studies Prostatectomy Performance status Urinary retention business.industry Acute kidney injury Age Factors Acute Kidney Injury Urinary Retention medicine.disease Surgery Treatment Outcome Nephrology Presentation (obstetrics) medicine.symptom business Urinary Catheterization Follow-Up Studies
Zdroj:	Scandinavian journal of urology. 48(6)
ISSN:	2168-1813
Popis:	The aim of this study was to identify factors at presentation that can help to predict outcomes and guide subsequent management decisions in patients with acute on chronic retention.The medical notes of 187 consecutive patients presenting with urinary retention at two teaching hospitals between 2008 and 2009 were reviewed. All patients were followed up for a minimum of 3 years. All patients were catheterized at presentation. The majority then underwent one or more of trial without catheter (TWOC), transurethral resection of the prostate (TURP) (both considered successful if the patient voided with a subsequent postvoid residual volume of200 ml on three successive occasions) or long-term catheterization. Patient factors such as age, associated acute kidney injury (AKI), performance status, residual volume, prior lower urinary tract symptoms (LUTS), treatment of LUTS, diagnosis of diabetes and neuropathy were recorded.Increasing age (p = 0.002) and increasing residual volume (p = 0.046) were associated with a significant increase in the failure of TWOC. The rate of AKI increased significantly with residual volume (p0.0001). As residual volume increased so did the likelihood that a patient would undergo TURP (p = 0.0009). Age did not appear to influence the outcome of TURP (p = 0.17). Increasing residual volume did not significantly reduce the likelihood of successful TURP (p = 0.068).High residual volumes should not preclude TURP. There is a clear correlation between AKI and residual volume. Increasing age and residual volume both reduce the likelihood of successful TWOC.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d34b99e63ef7cf161aa7510e3be777ff https://pubmed.ncbi.nlm.nih.gov/25012873 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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