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Factors Affecting Trial Without Catheter for First Spontaneous Acute Urinary Retention

PURPOSE: To find the association of trial without catheter (TWOC) outcome for first spontaneous acute urinary retention (AUR) in benign prostatic obstruction with age, prior lower urinary tract symptoms (LUTS), retention volume at catheterization (RV), and size of prostate. METHODS: Our prospective...

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Autores principales: Mahadik, Punit, Vaddi, Surya Prakash, Godala, Chandra-Mohan, Reddy, V. Vijaya Kumar, Sambar, Venkat Krishna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Continence Society 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797891/
https://www.ncbi.nlm.nih.gov/pubmed/24143290
http://dx.doi.org/10.5213/inj.2013.17.3.121
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author Mahadik, Punit
Vaddi, Surya Prakash
Godala, Chandra-Mohan
Reddy, V. Vijaya Kumar
Sambar, Venkat Krishna
author_facet Mahadik, Punit
Vaddi, Surya Prakash
Godala, Chandra-Mohan
Reddy, V. Vijaya Kumar
Sambar, Venkat Krishna
author_sort Mahadik, Punit
collection PubMed
description PURPOSE: To find the association of trial without catheter (TWOC) outcome for first spontaneous acute urinary retention (AUR) in benign prostatic obstruction with age, prior lower urinary tract symptoms (LUTS), retention volume at catheterization (RV), and size of prostate. METHODS: Our prospective observational analytical (interventional) study enrolled 77 cases of spontaneous AUR over 24 months. After clinical evaluation, digital rectal examination, and transabdominal ultrasonography, all patients were catheterized per urethra and their RV was recorded. TWOC was administered after 2 or 3 doses of 0.4 mg tamsulosin-oral absorption control system and after 48-72 hours had passed. A successful endpoint was defined as a maximum flow-rate, >5 mL/sec; voided volume, >100 mL; postvoid residue, <200 mL; and voiding within 6 hours of catheter removal. Data obtained from 58 patients were analyzed after excluding the cases lost to follow-up and secondary exclusion. Age, RV, duration of LUTS, and prostate volume on examination and ultrasonography (PUSG) were recorded and statistically analyzed. Prostate-specific antigen levels were obtained on follow-up and cases of cancer, as seen on transrectal ultrasound-guided biopsy, were secondarily excluded. RESULTS: The patients had a mean age of 65.89±8.67 years. Prior LUTS was seen in 35 patients (2.07±2.91 months). The mean PUSG and RV were 46.81±20.58 mL and 854.8±36.26 mL, respectively. Thirty patients underwent a successful TWOC; a mean age of 63.13±8.58 years (mean±standard deviation; unpaired t-test; P=0.0053) and a PUSG of ≤45 mL (Pearson chi-square test; P=0.0427) were significantly associated with a successful outcome. CONCLUSIONS: There is a significant association between TWOC outcome, age (P=0.0053), and PUSG (P=0.0427).
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spelling pubmed-37978912013-10-18 Factors Affecting Trial Without Catheter for First Spontaneous Acute Urinary Retention Mahadik, Punit Vaddi, Surya Prakash Godala, Chandra-Mohan Reddy, V. Vijaya Kumar Sambar, Venkat Krishna Int Neurourol J Original Article PURPOSE: To find the association of trial without catheter (TWOC) outcome for first spontaneous acute urinary retention (AUR) in benign prostatic obstruction with age, prior lower urinary tract symptoms (LUTS), retention volume at catheterization (RV), and size of prostate. METHODS: Our prospective observational analytical (interventional) study enrolled 77 cases of spontaneous AUR over 24 months. After clinical evaluation, digital rectal examination, and transabdominal ultrasonography, all patients were catheterized per urethra and their RV was recorded. TWOC was administered after 2 or 3 doses of 0.4 mg tamsulosin-oral absorption control system and after 48-72 hours had passed. A successful endpoint was defined as a maximum flow-rate, >5 mL/sec; voided volume, >100 mL; postvoid residue, <200 mL; and voiding within 6 hours of catheter removal. Data obtained from 58 patients were analyzed after excluding the cases lost to follow-up and secondary exclusion. Age, RV, duration of LUTS, and prostate volume on examination and ultrasonography (PUSG) were recorded and statistically analyzed. Prostate-specific antigen levels were obtained on follow-up and cases of cancer, as seen on transrectal ultrasound-guided biopsy, were secondarily excluded. RESULTS: The patients had a mean age of 65.89±8.67 years. Prior LUTS was seen in 35 patients (2.07±2.91 months). The mean PUSG and RV were 46.81±20.58 mL and 854.8±36.26 mL, respectively. Thirty patients underwent a successful TWOC; a mean age of 63.13±8.58 years (mean±standard deviation; unpaired t-test; P=0.0053) and a PUSG of ≤45 mL (Pearson chi-square test; P=0.0427) were significantly associated with a successful outcome. CONCLUSIONS: There is a significant association between TWOC outcome, age (P=0.0053), and PUSG (P=0.0427). Korean Continence Society 2013-09 2013-09-30 /pmc/articles/PMC3797891/ /pubmed/24143290 http://dx.doi.org/10.5213/inj.2013.17.3.121 Text en Copyright © 2013 Korean Continence Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mahadik, Punit
Vaddi, Surya Prakash
Godala, Chandra-Mohan
Reddy, V. Vijaya Kumar
Sambar, Venkat Krishna
Factors Affecting Trial Without Catheter for First Spontaneous Acute Urinary Retention
title Factors Affecting Trial Without Catheter for First Spontaneous Acute Urinary Retention
title_full Factors Affecting Trial Without Catheter for First Spontaneous Acute Urinary Retention
title_fullStr Factors Affecting Trial Without Catheter for First Spontaneous Acute Urinary Retention
title_full_unstemmed Factors Affecting Trial Without Catheter for First Spontaneous Acute Urinary Retention
title_short Factors Affecting Trial Without Catheter for First Spontaneous Acute Urinary Retention
title_sort factors affecting trial without catheter for first spontaneous acute urinary retention
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797891/
https://www.ncbi.nlm.nih.gov/pubmed/24143290
http://dx.doi.org/10.5213/inj.2013.17.3.121
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