The management of acute urinary retention in France: a cross-sectional survey in 2618 men with benign prostatic hyperplasia

BJU International
François DesgrandchampsRetenFrance Study Group

Abstract

To evaluate current practice in the management of acute urinary retention (AUR) in men with benign prostatic hyperplasia (BPH) in France. In all, 2618 men (median age 72 years) presenting with non-febrile AUR were enrolled by 658 French urologists in a prospective cross-sectional survey. The patients' demography, history of BPH, type of AUR and its management (trial without catheter, TWOC, use of alpha(1)-blockers, immediate or elective surgery, other alternatives) were collected. Of the 2618 men analysed, 1875 (71.6%) had spontaneous AUR (sAUR) and 743 (28.4%) had precipitated AUR (pAUR), mainly after surgery with locoregional or general anaesthesia. BPH was revealed by AUR in 52.3% of men with pAUR and 25.9% of men with sAUR. A urethral catheter was inserted in most cases (82.7%) while only 16.7% had a suprapubic catheter. After initial catheterization, 72.8% of men had a TWOC (pAUR 89.4%, sAUR 66.2%, P < 0.001) after a median of 3 days of catheterization, 17.9% had elective surgery after a median of 8 days of catheterization (pAUR 7.1%, sAUR 22.1%, P < 0.001), 5.7% had immediate surgery after a median of 4 days of catheterization (pAUR 1.1%, sAUR 7.5%, P < 0.001), 0.4% had a urethral stent inserted and 1.1% had an indwelling...Continue Reading

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Citations

Jan 18, 2013·World Journal of Urology·Maximilian RomTobias Klatte
Aug 24, 2012·International Urology and Nephrology·Jeremy Yuen Chun TeohChi Fai Ng
Aug 4, 2007·Nature Clinical Practice. Urology·Jay KhastgirMark Speakman
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Mar 1, 2008·BJU International·Mark Emberton, John M Fitzpatrick
Mar 2, 2006·BJU International·John M Fitzpatrick, Roger S Kirby
Nov 29, 2011·BJU International·John M FitzpatrickUNKNOWN Reten-World Study Group
Jul 22, 2015·Prostate Cancer and Prostatic Diseases·P D YoonH H Woo
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Jan 15, 2014·Urologia·David Hernández HernándezDavid Castro-Diaz
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