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Management of men with a first episode of acute urinary retention due to benign prostatic enlargement

Authors:

AM Abeygunasekera ,

Urology Unit, Teaching Hospital, Karapitiya, Galle, LK
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S de Silva,

Urology Unit, Teaching Hospital, Karapitiya, Galle, LK
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A Gurusingha,

Urology Unit, Teaching Hospital, Karapitiya, Galle, LK
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S Wijeratne

Urology Unit, Teaching Hospital, Karapitiya, Galle, LK
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Abstract

Objective To determine the effect of the existing management protocol of patients presenting with acute urinary retention due to benign prostatic enlargement on clinical efficacy and surgical practice.

Design Prospective study

Setting The Urology Unit at the Teaching Hospital, Karapitiya, Galle. Patients 100 consecutive patients with a first episode of acute urinary retention due to a clinically benign enlarged prostate.

Measurements Success of voiding urine after one week of treatment with an a adrenoceptor blocker (prazosin). Incidence of subsequent urinary retention during the follow up period of 6 months despite continuing treatment with the drug.

Results Of the 94 patients who completed the follow up period of 6 months, 36 voided successfully after the initial trial without catheter at one week. However, 12 of them developed urinary retention during the follow up and required surgery.

Conclusion Treatment with an a adrenoceptor blocker followed by a single trial without catheter can avoid prostatic surgery in 40% of patients with acute urinary retention due to benign prostatic enlargement.

DOI: http://dx.doi.org/10.4038/cmj.v46i4.6430

Ceylon Medical Journal 2001; 46(4): 124-125

DOI: https://doi.org/10.4038/cmj.v46i4.6430
How to Cite: Abeygunasekera, A., de Silva, S., Gurusingha, A. and Wijeratne, S., 2014. Management of men with a first episode of acute urinary retention due to benign prostatic enlargement. Ceylon Medical Journal, 46(4), pp.124–125. DOI: http://doi.org/10.4038/cmj.v46i4.6430
Published on 23 Jan 2014.
Peer Reviewed

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