The Ceylon medical journal · 2001
Management of men with a first episode of acute urinary retention due to benign prostatic enlargement.
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Abeygunasekera A M, de Silva S, Gurusingha A, Wijeratne S
Аннотация
OBJECTIVE: To determine the effect of the existing management protocol of patients presenting with acute urinary retention due to benign prostatic enlargement on clinical efficacy and surgical practice.
DESIGN: Prospective study.
SETTING: The Urology Unit at the Teaching Hospital, Karapitiya, Galle.
PATIENTS: 100 consecutive patients with a first episode of acute urinary retention due to a clinically benign enlarged prostate.
MEASUREMENTS: Success of voiding urine after one week of treatment with an alpha adrenoceptor blocker (prazosin). Incidence of subsequent urinary retention during the follow up period of 6 months despite continuing treatment with the drug.
RESULTS: Of the 94 patients who completed the follow up period of 6 months, 56 voided successfully after the initial trial without catheter at one week. However, 12 of them developed urinary retention during the follow up and required surgery.
CONCLUSION: Treatment with an alpha adrenoceptor blocker followed by a single trial without catheter can avoid prostatic surgery in 40% of patients with acute urinary retention due to benign prostatic enlargement.
DESIGN: Prospective study.
SETTING: The Urology Unit at the Teaching Hospital, Karapitiya, Galle.
PATIENTS: 100 consecutive patients with a first episode of acute urinary retention due to a clinically benign enlarged prostate.
MEASUREMENTS: Success of voiding urine after one week of treatment with an alpha adrenoceptor blocker (prazosin). Incidence of subsequent urinary retention during the follow up period of 6 months despite continuing treatment with the drug.
RESULTS: Of the 94 patients who completed the follow up period of 6 months, 56 voided successfully after the initial trial without catheter at one week. However, 12 of them developed urinary retention during the follow up and required surgery.
CONCLUSION: Treatment with an alpha adrenoceptor blocker followed by a single trial without catheter can avoid prostatic surgery in 40% of patients with acute urinary retention due to benign prostatic enlargement.