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ARTICLE
Year : 1999  |  Volume : 4  |  Issue : 1  |  Page : 8-10

Trial without catheter in patients with acute urinary retention secondary to BPH


Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria

Correspondence Address:
Aloy E Aghaji
Department of Surgery, University of Nigeria Teaching Hospital, Enugu
Nigeria
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Source of Support: None, Conflict of Interest: None


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A nine year prospective study was conducted to find out if there are any features in patients with acute urinary retention secondary to BPH, that can fairly accurately predict those who would benefit from trial without catheter. Between July 1989 and June 1998, 108 patienst who presented with acute urinary retention due to clinically diagnosed BPH, in a private urological clinic, were included in this study. To assess which patients that benefit from trial without catheter, the outcome of this practice was analysed against the relevant features of the patients at presentation. On the whole, 33 (30.6%) patients benefited initially from the practice but this was reduced to 25 (23.1%) at the end of six months. Trial without catheter was found to be of value in three groups of patients: (1) Patients in the younger age group (2) Those who have had no significant past urological history and (3) Those recently commenced on drugs like anticholinergics, diuretics and alcohol. The rest of the patients needed definitive treatment. Trial without catheter is justified in those with features detailed above and they should be followed up afterwards. Definitive treatment should be instituted early in the rest of the patients.


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