Role of Suprapubic Cystostomy in BPH Patients Presented with first time for Acute Retention of Urine

Abstract

The study compares the role of suprapubic cystostomy versus per urethral catheterization in BPH patients with acute retention of urine. Majority 80% patients were 50-70 years old. The higher number of patients in Group A (18/25) voided normally with good flow rate of almost 15ml/sec and non-significant residual urine, compared to Group B (13/25). In Group B, 12 patients required re- catheterization while only 7 in Group A needed to have their suprapubic catheter opened. All patients took Tamsulosin 0.4mg daily. Patients in Group A had their suprapubic catheter clamped and tested for voiding through the urethra; while Group B was tested without a catheter. The flow rate and PMRV noted. In group A, 7 patients had retention relieved by a suprapubic catheter. Two patients pulled out per urethral catheterization and was excluded from the study. The results showed the effectiveness of suprapubic cystostomy for benign prostatic hyperplasia patients with first-time urine retention.