Voiding Trial Outcome in Acute Urinary Retention and Prostatic Protrusion
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Predicting Outcome of Trial of Voiding Without Catheter in Acute Urinary Retention with Intravesical Prostatic Protrusion
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Osman Syazarina Sharis, Md Zainuddin Zulkifli, Abdul Hamid Hamzaini
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Predicting Outcome of Trial of Voiding Without Catheter in Acute Urinary Retention with Intravesical Prostatic Protrusion
Year: 2013
Copyright (license): CC BY 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Acute urinary retention (AUR) is a significant complication associated with benign prostatic hyperplasia (BPH), affecting an estimated 5-25 individuals per 1000 person-years. The standard management involves catheterization, followed by a trial of voiding without catheter (TWOC) which allows patients to regain self-voiding. However, the success rate of TWOC is variable, ranging between 23% to 58%. Recent developments suggest that intravesical prostatic protrusion (IPP), measured through transabdominal ultrasound, could play a crucial role in predicting the outcomes of TWOC, thus enabling better management decisions for patients experiencing AUR.
Importance of Intravesical Prostatic Protrusion (IPP)
This study highlights the predictive value of IPP concerning the success of TWOC in patients with AUR. Among the enrolled participants, patients with grade 3 IPP, defined as protrusion greater than 10 mm, exhibited a significantly higher failure rate in the TWOC compared to those with grade 1 and grade 2 IPP. This correlation underscores the importance of assessing IPP during ultrasound examinations, as it can provide critical insights into the likelihood of successful voiding without a catheter. Moreover, a larger prostatic volume was also identified as a significant factor influencing the TWOC outcomes, which includes a mean volume of 20.63 g in patients who failed compared to 12.38 g in those who succeeded.
Conclusion
The findings of this study suggest that both IPP and prostatic volume are effective predictors of TWOC outcomes in patients with AUR. Specifically, patients with a high grade of IPP should be considered for earlier and more definitive surgical interventions, such as transurethral resection of the prostate (TURP), following episodes of AUR due to their increased likelihood of TWOC failure. This emphasizes the necessity of integrating IPP measurements into standard practice within urological assessments to enhance patient management and outcomes.
FAQ section (important questions/answers):
What is acute urinary retention (AUR) and its causes?
Acute urinary retention (AUR) is a sudden inability to urinate, commonly caused by benign prostatic hypertrophy (BPH). It can lead to serious complications if not treated promptly, often requiring catheterization as an immediate management.
How is intravesical prostatic protrusion (IPP) measured?
Intravesical prostatic protrusion (IPP) is measured via transabdominal ultrasound. It assesses how much the prostate protrudes into the bladder, with grades assigned based on the protrusion size: grade 1 (�5 mm), grade 2 (5�10 mm), and grade 3 (>10 mm).
What factors correlate with successful trial of voiding without catheter (TWOC)?
Factors correlating with successful TWOC include the degree of IPP and prostate volume. Higher grades of IPP, especially grade 3, have been associated with higher failure rates of TWOC.
What are the implications for patients with high-grade IPP?
Patients with high-grade IPP (>10 mm) may need earlier definitive surgical treatments. TWOC may be less successful, indicating a potential need for urgent intervention like transurethral resection of the prostate (TURP).
Other Science Concepts:
Discover the significance of concepts within the article: �Voiding Trial Outcome in Acute Urinary Retention and Prostatic Protrusion�. Further sources in the context of Science might help you critically compare this page with similair documents:
Surgical treatment, Urinary bladder, Statistical analysis, Patient's age, Study population, Urinary tract, BPH, Ultrasound, Prostate size, Urinary retention, Prospective study, Urinary tract infection, TURP, Catheterization, Prostate cancer, Prostate gland, Disease process, Bladder outlet obstruction, Post void residual urine, Acute urinary retention, Failure rate, Benign prostatic hypertrophy, Transabdominal ultrasound, Uroflowmetry, Significant predictor, Age of Patient.