Selection of the urine derivation method in patients with acute urinary retention before surgical treatment of benign prostatic hyperplasia

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Abstract

Actuality. Nowadays it is necessary to recognize that the problem of acute urinary retention associated with benign prostatic hyperplasia is one of the most frequent causes of hospitalization into the urology hospital. A number of standard urine derivation techniques are used as a part of preoperative treatment.

The aim of the study is to optimize the choice of the preoperative bladder drainage.

Material and methods. The data of 280 patients hospitalized in the Urology Department of Samara City Clinical Hospital No. 8 over the period of 2012–2015 were studied to evaluate the results of acute urinary retention.

Results and conclusions. Retrospective pseudo-factor analysis allows to evaluate the effect of the bladder drainage method on the results of treatment of acute urinary retention in benign prostatic hyperplasia. The results can be used as the basis for a mathematical model which allows to predict the outcome of the treatment of acute urinary retention during surgical treatment of benign prostatic hyperplasia. Obtained data were used to develop recommendations on the methods of bladder drainage as a part of preoperative treatment in patients with benign prostatic hyperplasia.

About the authors

Denis O. Gusev

Samara City Clinical Hospital No. 8

Author for correspondence.
Email: k.mary96@mail.ru

Urologist

Russian Federation, Samara

Allahverdi Dilan ogly Adilov

Orenburg State Clinical Hospital No. 1

Email: k.mary96@mail.ru

Andrologist

Russian Federation, Orenburg

Sergey M. Pikalov

Samara Regional Clinical Hospital named after V.D. Seredavin

Email: Serpik66@mail.ru

Urologist, Head of the Urology Department

Russian Federation, Samara

Alexander A. Zimichev

Samara State Medical University

Email: zimichew@mail.ru

Doctor of Medical Sciences, Associate Professor, Department of Urology

Russian Federation, Samara

References

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  2. Jacobsen SJ, Jacobson DJ, Girman CJ, et al. Natural history of prostatism: risk factors for acute urinary retention. J Urol. 1997;158(2):481-487. https://doi.org/10.1016/s0022-5347(01)64508-7.
  3. Choong S, Emberton M. Acute urinary retention. BJU International. 2000;85(2):186-201. https://doi.org/ 10.1046/j.1464-410x.2000.00409.x.
  4. Elhilali M, Vallancien G, Emberton M, et al. Management of acute urinary retention: a worldwide comparison. J Urol. 2004;171(Suppl):407, A1544.
  5. Marberger MJ, Andersen JТ, Nickel JС, et al. Prostate volume and serum prostate-specific antigen as predictors of acute urinary retention. Eur Urol. 2000;38(5):563-568. https://doi.org/10.1159/000020356.
  6. Choong S, Emberton M. Acute urinary retention. BJU Int. 2000;85(2):186-201. https://doi.org/10.1046/j.1464-410x.2000.00409.x.
  7. Emberton M, Anson K. Acute urinary retention in men: an age old problem. BMJ. 1999;318(7188):921-925. https://doi.org/10.1136/bmj.318.7188.921.

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Copyright (c) 2020 Gusev D.O., Adilov A.D., Pikalov S.M., Zimichev A.A.

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