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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Factors Predicting Outcome of Trial without Catheter in Patients withAcute Urinary Retention Secondaryto Prostatic Enlargement
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Factors Predicting Outcome of Trial without Catheter in Patients withAcute Urinary Retention Secondaryto Prostatic Enlargement

机译：前列腺增大继发急性尿Re留患者无导管试验结果的预测因素

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Acute Urinary Retention (AUR) is an important feature of progression of Benign Prostatic Hyperplasia (BPH). The management of AUR is immediate urethral catheterisation followed by Trial without Catheter (TWOC).Aim: The aim of this study was to evaluate the factors predicting outcome of TWOC in patients with AUR due to BPH.Materials and Methods: Ninety patients with spontaneous AUR secondary to BPH were selected for the study. Various factors e.g., age, duration of Lower Urinary Tract Symptoms (LUTS), drained urinary volume, Digital Rectal Examination (DRE) prostate size, Ultrasonography (USG) prostate volume, thickened bladder wall, Intravesical Prostatic Protrusion (IPP) grade were recorded. Tamsulosin was administered for three days before trial. The TWOC was considered successful if patient voided within six hours with Qmax >5 mL/second and Post Void Residual (PVR) urine <200 mL. Logistic regression analysis was performed to identify predictors and Receiver Operating Curve (ROC) was constructed.Results: It was observed that among 90 patients with AUR due to BPH, 56.7% had successful TWOC and rest failed the attempt. Cases in failure group had thicker bladder wall compared to those in successful group (97.4% v/s 80.4%, p=0.020). Grade III IPP was associated with higher percentage (72.7%) of failure of TWOC than Grade I (10%) and II (52.6%). A cut-off value of two and a half months for duration of LUTS (AUROC=0.625), 775 mL for drained urinary volume (AUROC=0.726) and 49.5 mL for prostate volume (AUROC=0.588) gave modest sensitivity for trial to fail.Conclusion: Our data concludes that drained urinary volume and IPP are significant predictors of outcome of TWOC in patients with AUR due to BPH.
机译：急性尿Re留（AUR）是良性前列腺增生（BPH）进展的重要特征。 AUR的管理是立即进行尿道导管插入术，然后进行无导管试验（TWOC）。目的：本研究的目的是评估预测BPH导致AUR患者TWOC结局的因素。材料和方法：选择90例BPH继发自发性AUR的患者进行研究。记录各种因素，例如年龄，下尿路症状（LUTS）的持续时间，尿液引流量，直肠指检（DRE）前列腺大小，超声检查（USG）前列腺体积，膀胱壁增厚，膀胱内前列腺突出（IPP）级。试验前将坦索罗辛给药三天。如果患者在Qmax> 5 mL /秒且排尿后残留（PVR）尿液<200 mL的情况下六个小时内排尿，则认为TWOC成功。 结果：观察到90例由于BPH引起的AUR患者中，有56.7％的患者成功进行了TWOC，其余患者均未通过尝试。与成功组相比，失败组的膀胱壁较厚（97.4％v / s 80.4％，p = 0.020）。 III级IPP与TWOC失败的百分比（72.7％）高于I级（10％）和II级（52.6％）。 LUTS持续时间（AUROC = 0.625）的截止值为两个半月，尿液引流量（AUROC = 0.726）的截止值为775 mL，前列腺体积（AUROC = 0.588）的截止值为49.5 mL，试验失败的敏感性中等。结论：我们的数据得出结论，引流尿量和IPP是BPH导致AUR患者TWOC结局的重要预测指标。

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