Management of acute urinary retention secondary to benign prostatic hyperplasia

Abstract EN

Objective : To analyze patients’ status and current practice in the management of acute urinary retention (AUR) secondary to benign prostatic hyperplasia (BPH).

Setting : Salmaniya Medical Complex (SMC), Kingdom of Bahrain.

Method : Records of 478 patients with AUR were reviewed.

The patients were managed by five consultant urologists during period of eight years (1995-2003).

We have documented: in patients and methods.

Results : Urethral catheterization was the initial management of choice in 459 (96 %) and suprapubic catheters in 19 (4 %).

Digital rectal examination (DRE) and abdominal ultrasonography were done in the majority, of patients.

Prostate specific antigen (PSA) was done in 229 (48 %) ; transrectal ultrasonography in 14 (3 %) and intravenous pyelography (IVP) in 129 (27 %).

Fifty-three patients (11%) were managed successfully with trial without catheter (TWOC), 2-3 days after starting alpha blocker.

Four hundred twenty-five patients (89 %) underwent endoscopic examination, of these 10 patients had prostatic stenting only, one had open prostatectomy and the remainder had transurethral resection of the prostate (TURP).

Conclusion : This study revealed a reasonable uniformity in the management of AUR secondary to BPH in SMC without or with guidelines, which needs to depend on evidence-based studies.