Predictors of successful trial without catheter following acute urinary retention in benign prostatic enlargement: A single centre, multivariate analysis

Bansal, Ankur; Arora, Arushi

doi:10.1002/nau.23194

Cited by 22 publications

(25 citation statements)

References 28 publications

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“…Conversely, we found no significant differences in PSA concentrations, prostate volume, age, and residual volume between patients experiencing TWOC success and failure, in contrast with previous studies . These apparent discrepancies results could be explained by the population size and different inclusion criteria of the different studies.…”

Section: Discussioncontrasting

confidence: 99%

“…In particular Bhomi et al found an AUC of 0.90 for an IPSS cut‐off of 16. Similarly, the American Urological Association (AUA) symptom score was recently found to be associated with TWOC success (odds ratio 1.78, 95% confidence interval 1.27–6.56; P = .038) . In accordance with these previous studies, the IPSS‐4 was shown to be predictive of TWOC success, with a significant AUC of 0.85 ( P < .001), in the present study.…”

Section: Discussionsupporting

confidence: 90%

“…Although the factors predicting the risk of AUR in BPE patients are known and have been demonstrated in long‐term observational studies, the factors predicting spontaneous micturition recovery are not well known. A few studies have investigated age, symptom scores, prostate volume, intravesical prostate protrusion, post‐voiding residual (PVR), prostate‐specific antigen (PSA), and C‐reactive protein (CRP) as independent predictors of TWOC success …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Predictive variables of spontaneous micturition recovery after acute urinary retention in men with benign prostatic enlargement: An observational prospective study

Vella

Abrate

Costanzo

et al. 2018

LUTS

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predictive variables of spontaneous micturition recovery after acute urinary retention in men with benign prostatic enlargement: An observational prospective study

Vella

Abrate

Costanzo

et al. 2018

LUTS

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“…The chance of successful voiding at the 1st catheter removal in this study was 46%, which corresponds to the values found in the literature, between 33% and 61% …”

Section: Discussionsupporting

confidence: 89%

Evaluation of the impact of a clinical pathway on the progression of acute urinary retention

Gas

Liaigre-Ramos

Caubet-Kamar

et al. 2018

Neurourology and Urodynamics

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Aims: The management of acute urinary retention (AUR) revolves around trial without catheter (TWOC) after prescription of an alpha-blocker. This study evaluates the implementation of a clinical pathway for AUR. Methods: Specific clinical pathways for AUR was established between the Emergency Department and the Department of Urology in order to reduce the duration of bladder drainage that included standard prescriptions, an information sheet, and a note to be faxed to scheduling nurses to organize the trial without catheter (TWOC). The main endpoint was the reduction in the time between the AUR episode and TWOC, without decreasing urination. Results: Between April 2015 and December 2016, 248 patients were treated in the Emergency Department, and externally, for AUR. One hundred and seventy patients were enrolled in the pathway group and 78 in the control group. The mean duration of urinary catheterization decreased by 5.5 days as did the number of patients lost to follow-up (32% vs 76%), without decreasing the successful voiding (46% vs 36%). The duration of the urinary catheterization was not related to the chance of successful voiding regardless of the urine volume and a drainage time of over 10 days significantly reduced the chance of success (68%, n = 26 versus 42%, n = 76; P = 0.0038). Conclusion:The implementation of a clinical pathway for AUR reduced the number of patients lost to follow-up and the catheterization duration, thus optimizing the management of these patients. K E Y W O R D Sacute urinary retention, alpha-blocker, catheter removal, clinical pathway, emergency

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“…Tiong, Sharis and Bansal et al in their respective studies demonstrated a success rate of 60%, 50% and 66.3%. [5][6][7] Average age was noted to be lesser by 3 years and 6 months in successful group in our study and was found to be a statistically significant parameter for determining success. The opinion on this association is divided in literature.…”

Section: Discussionmentioning

confidence: 77%

Predictors of successful trial with-out catheter following acute urinary retention secondary to benign prostatic hypertrophy

et al. 2020

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Background: Acute urinary retention (AUR) is one of the most psychologically distressing complications of benign prostatic hypertrophy (BPH). Attempt of trial without urinary catheter (TWOC) is given to all these patients, failing which they are subjected to surgical management. This study was conducted to analyse the possible predictors of successful trials in such patients.Methods: Patients reporting to our centre with a first episode of spontaneous AUR secondary to BPH were enrolled. Following per-urethral catheterization residual urine volume (RUV) drained, duration of symptoms and international prostate symptom score (IPSS) were recorded. Using trans-abdominal ultrasonography (USG) prostate volume (PV), intra-vesicle prostate protrusion (IPP) and bladder wall thickness (BWT) were measured. Catheter free trial was given after a course of tamsulosin. Success was defined if patients could void >200 ml of urine within six hours of catheter removal with a maximum flow rate of >5 ml/sec and achieved a post void residual (PVR) urine volume of <150 ml.Results: Ninety patients with 58 in successful and 32 in failed group were analysed. Significantly lesser age, IPSS, RUV, IPP and BWT was noted in successful group. Duration of LUTS and PV on USG were statistically insignificant parameters in determining a successful trial.Conclusions: Age, IPSS, RUV, IPP and BWT may have a role in predicting successful TWOC following AUR secondary to BPH.

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Predictors of successful trial without catheter following acute urinary retention in benign prostatic enlargement: A single centre, multivariate analysis

Cited by 22 publications

References 28 publications

Predictive variables of spontaneous micturition recovery after acute urinary retention in men with benign prostatic enlargement: An observational prospective study

Predictive variables of spontaneous micturition recovery after acute urinary retention in men with benign prostatic enlargement: An observational prospective study

Evaluation of the impact of a clinical pathway on the progression of acute urinary retention

Predictors of successful trial with-out catheter following acute urinary retention secondary to benign prostatic hypertrophy

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