Document Detail


Acute urinary retention increases the risk of complications after transurethral resection of the prostate: a population-based study.
MedLine Citation:
PMID:  23035623     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: • To assess the association between a history of acute urinary retention (AUR) and complications after transurethral resection of prostate (TURP).
PATIENTS AND METHODS: • We conducted a retrospective, national, population-based study using Taiwan's National Health Insurance Research Database. • We included men > 50 years old, diagnosed with benign prostatic hyperplasia (BPH) and divided these into two groups: an AUR(+) group--those with AUR who underwent TURP between 2002 and 2004; and an AUR(-) group--those without AUR who underwent TURP between those dates. • Prostate cancer, Parkinsonism and multiple sclerosis were exclusion criteria. • Postoperative complications, e.g. re-catheterization, haematuria or urinary tract infection (UTI), were compared using crude odds ratios (ORs), 95% confidence intervals (CIs), and Student's t-test. • A chi-squared test was used for potential confounding factors: preoperative UTI and anticoagulant use. • Univariate and multivariate analysis on medical expenses were conducted.
RESULTS: • The AUR(+) group contained 3305 men; the AUR(-) group contained 1062. • Re-catheterization (13.8%), septicaemia (1.1%) and shock (0.3%) were found only in the AUR(+) group. • The AUR(+) group had more UTIs (18.9% vs. 15.6%, OR: 1.26, 95% CI: 1.05-1.52), more lower urinary tract symptoms (22.8% vs. 16.9%, OR: 1.45, 95% CI: 1.21-1.73), fewer blood transfusions (3.2% vs. 1.5%, OR: 2.19, 95% CI: 1.29-3.72) and higher medical expenses. • There were no significant differences in haematuria, lower urinary tract stricture, or re-surgical intervention of the prostate and second-line antibiotic use.
CONCLUSION: • Patients in Taiwan with BPH with AUR who were treated by TURP were associated with a higher risk of complications, longer hospital stay and more comorbidities than those without AUR and a preoperative warning is warranted for these patients.
Authors:
Jeng-Sheng Chen; Chia-Hsien Chang; Wen-Horng Yang; Yea-Huei Kao
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2012-10-04
Journal Detail:
Title:  BJU international     Volume:  110     ISSN:  1464-410X     ISO Abbreviation:  BJU Int.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-01-02     Completed Date:  2013-02-05     Revised Date:  2013-09-05    
Medline Journal Info:
Nlm Unique ID:  100886721     Medline TA:  BJU Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  E896-901     Citation Subset:  IM    
Copyright Information:
© 2012 BJU INTERNATIONAL.
Affiliation:
Department of Urology, Medical College and Hospital, National Cheng Kung University, Tainan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Population Surveillance*
Postoperative Complications / epidemiology*,  etiology
Prostatic Hyperplasia / complications,  surgery*
Retrospective Studies
Risk Factors
Taiwan / epidemiology
Transurethral Resection of Prostate / adverse effects*
Urinary Retention / complications*,  physiopathology
Urodynamics
Comments/Corrections
Comment In:
J Urol. 2013 Aug;190(2):624-5   [PMID:  23845358 ]
BJU Int. 2012 Dec;110(11 Pt C):E902   [PMID:  23035658 ]

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