Abstract
Acute urinary retention (AUR) is a common urological emergency, characterized by a sudden and painful inability to pass urine. There is high variability within and among countries in its management, which can be explained not only by differences in access to care but also by a lack of harmonization and consensus on the best way to proceed. Immediate treatment consists of bladder decompression, usually by a urethral catheter, although a suprapubic catheter offers several advantages not often exploited by urologists. Until recently, secondary management consisted almost exclusively of prostatic surgery within a few days (emergency surgery) or a few weeks (elective surgery) after a first AUR episode. The greater morbidity and mortality associated with emergency surgery, and the potential morbidity associated with prolonged catheterization, has led to the increasing use of a trial without catheter; this involves catheter removal after 1-3 days, allowing the patient to void in 23-40% of cases, and surgery, if needed, at a later stage. Alpha1-adrenergic blockers given before catheter removal improve the chances of success. A high prostate-specific antigen level and postvoid residual urine volume, and response to alfuzosin treatment a...Continue Reading
References
Apr 1, 1975·British Journal of Urology·M CaineM Zeigler
Aug 1, 1992·British Journal of Urology·A F HorganD C O'Sullivan
Feb 1, 1989·British Journal of Urology·M Taube, H Gajraj
Feb 1, 1989·The Journal of Urology·W K MebustP C Peters
Jan 1, 1987·Scandinavian Journal of Urology and Nephrology·P KlarskovT Vedel
Mar 1, 1974·Urology·L H SpiroL A Orkin
Aug 1, 1984·British Journal of Urology·K MurrayA Shepherd
Jan 1, 1982·Scandinavian Journal of Urology and Nephrology·L BreumA G Nordestgaard
Apr 29, 1998·European Urology·B DjavanC G Roehrborn
Jun 20, 1998·British Journal of Urology·R PickardD E Neal
Aug 28, 1998·The Journal of Urology·I AnjumG R Mufti
Mar 30, 1999·Urology·C G RoehrbornJ Waldstreicher
Apr 2, 1999·BMJ : British Medical Journal·M Emberton, K Anson
Oct 6, 1999·BJU International·S A McNeillT B Hargreave
Feb 15, 2000·BJU International·S Choong, M Emberton
Apr 15, 2000·European Urology·C G RoehrbornJ Waldstreicher
Jul 12, 2001·BJU International·N Ade-AjayiP G Ransley
Oct 4, 2002·European Urology·T ShahG M Flannigan
Dec 18, 2003·BJU International·R ManikandanG N Collins
Mar 24, 2004·European Urology·S Alan McNeill
May 6, 2004·The Journal of Urology·S A McNeillUNKNOWN Members of the Alfaur Study Group
Jan 11, 2005·BJU International·Kay ThomasRoger S Kirby
Jan 26, 2005·Urology·S A McNeillUNKNOWN Alfaur study group
Feb 1, 2005·BJU International·Malcolm G LucasVinod Nargund
Jun 21, 2005·European Urology·Altug TuncelAli Atan
Aug 16, 2005·Urology·Mark EmbertonUNKNOWN Alf-One Study Group
Sep 13, 2005·BJU International·Jim Armitage, Mark Emberton
Mar 16, 2006·BJU International·François DesgrandchampsUNKNOWN RetenFrance Study Group
Citations
Sep 28, 2007·BMC Urology·Stephen O IkuerowoJulius O Esho
Dec 4, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Madhu S AgrawalRicha Jaiman
Apr 20, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Mark J Speakman, Xi Cheng
Jan 15, 2008·The Kaohsiung Journal of Medical Sciences·Turgay AkgulCankon Germiyanoglu
May 20, 2008·The Journal of Urology·Steven A KaplanWilliam D Steers
Mar 14, 2008·European Urology·Michele Spinelli, Karl-Dietrich Sievert
Apr 10, 2007·European Urology·Stephan MadersbacherGeorg Schatzl
Sep 11, 2009·Geriatrics & Gerontology International·Ami KamdarLatha Thangaraj
Dec 12, 2007·BJU International·Emmanuel Chartier-Kastler
Feb 15, 2012·Neurourology and Urodynamics·Young Hwii KoJeong Gu Lee
Sep 18, 2010·Journal of Clinical Nursing·Yu-Hua LinHsin-Pao Chen
Sep 10, 2014·Journal of Advanced Nursing·Judith Dianne PughMary King
Aug 25, 2009·The American Journal of Medicine·Mary Beth Thorne, Stephen A Geraci
Jul 22, 2015·Prostate Cancer and Prostatic Diseases·P D YoonH H Woo
May 30, 2013·Atencion primaria·Francisco Manuel M Parrilla RuizAntonio Cárdenas Cruz
Mar 20, 2014·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Ali Hamidi MadaniSeyed Mohamad Seyed Damavand
Oct 15, 2013·British Journal of Nursing : BJN·Linda Nazarko
Aug 4, 2007·Nature Clinical Practice. Urology·Jay KhastgirMark Speakman
Jan 18, 2018·BMC Geriatrics·Yu-Hsiang LinKe-Hung Tsui
Oct 22, 2013·International Neurourology Journal·Punit MahadikVenkat Krishna Sambar
Jan 28, 2014·PloS One·Sung Han KimSeung-June Oh
Dec 21, 2019·Irish Journal of Medical Science·Paul Christopher RyanDavid W Mulvin
Apr 25, 2009·The Nurse Practitioner·Christine Bradway, John Rodgers
Aug 21, 2020·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Connie SchumacherAndrew P Costa
Jul 10, 2013·Experimental and Therapeutic Medicine·Hong-Zhou MengXiao-Dong Jin
Jul 14, 2020·Journal of Infection Prevention·Jacqui PrietoHeather Loveday
Sep 1, 2010·Journal of Robotic Surgery·Alfonso Fernandez, Stephen E Pautler
May 14, 2021·British Journal of Nursing : BJN·Linda Nazarko