ARTICLE

ROLE OF SUPRAPUBIC CYSTOSTOMY IN BPH PATIENTS PRESENTED WITH FIRST TIME FOR ACUTE RETENTION OF URINE

02 Pages : 14-20

http://dx.doi.org/10.31703/gdddr.2022(VII-IV).02      10.31703/gdddr.2022(VII-IV).02      Published : Dec 2022

Role of Suprapubic Cystostomy in BPH Patients Presented with first time for Acute Retention of Urine

    The study compares the role of suprapubic cystostomy versus per urethral catheterization in BPH patients with acute retention of urine. Majority 80% patients were 50-70 years old. The higher number of patients in Group A (18/25) voided normally with good flow rate of almost 15ml/sec and non-significant residual urine, compared to Group B (13/25). In Group B, 12 patients required re- catheterization while only 7 in Group A needed to have their suprapubic catheter opened. All patients took Tamsulosin 0.4mg daily. Patients in Group A had their suprapubic catheter clamped and tested for voiding through the urethra; while Group B was tested without a catheter. The flow rate and PMRV noted. In group A, 7 patients had retention relieved by a suprapubic catheter. Two patients pulled out per urethral catheterization and was excluded from the study. The results showed the effectiveness of suprapubic cystostomy for benign prostatic hyperplasia patients with first-time urine retention.

    BPH, Retention, Suprapubic Cystostomy, AUR, PUC, TWOC
    (1) Khalid Hussain
    Assistant Professor/Head of Urology Department, DHQ Teaching Hospital, Gujranwala, Punjab, Pakistan.
    (2) Maria Tariq
    PGR Urology, DHQ Teaching Hospital, Gujranwala, Punjab, Pakistan
    (3) Imran Amin
    HOD & Professor of Surgery, DHQ Teaching Hospital, Gujranwala, Punjab, Pakistan.
    (4) Bilal Ahmed
    PGR Urology, DHQ Teaching Hospital, Gujranwala, Punjab, Pakistan.
    (5) Bilal Akhtar
    Senior Registrar Urology, GMC Teaching Hospital, Gujranwala, Punjab, Pakistan
    (6) Azeem Ahmed
    PGR Urology, DHQ Teaching Hospital, Gujranwala, Punjab, Pakistan
  • Acobsen, S. J., Jacobson, D. J., Girman, C. J., Roberts, R. O., Rhodes, T., Guess, H. A., & Lieber, M. M. (1997). Natural history of prostatism: risk factors for acute urinary retention. The Journal of Urology, 158(2), 481–487. https://doi.org/10.1016/s0022-5347(01)64508-7
  • Breum, L., Klarskov, P., Munck, L. K., Nielsen, T. H., & Nordestgaard, A. G. (1982). Significance of Acute Urinary Retention Due to Infravesical Obstruction. Scandinavian Journal of Urology and Nephrology, 16(1), 21–24. https://doi.org/10.3109/00365598209179635
  • Caine, M., Raz, S., & Zeigler, M. (1975). Adrenergic and Cholinergic Receptors in the Human Prostate, Prostatic Capsule and Bladder Neck. British Journal of Urology, 47(2), 193–202. https://doi.org/10.1111/j.1464-410x.1975.tb03947.x
  • Clayton, J. L. (2017). Indwelling Urinary Catheters: A Pathway to Health Care– Associated Infections. AORN Journal, 105(5), 446–452. https://doi.org/10.1016/j.aorn.2017.02.013
  • Desgrandchamps, F., De La Taille, F., & Doublet, J. D. (2006). MANAGEMENT OF ACUTE URINARY RETENTION IN FRANCE: CROSS-SECTIONAL SURVEY IN 2635 MEN WITH BPH. European Urology Supplements, 5(2), 196. https://doi.org/10.1016/s1569-9056(06)60700-8
  • Dubey, D., Kapoor, R., & Muruganandham, K. (2007). Acute urinary retention in benign prostatic hyperplasia: Risk factors and current management. Indian Journal of Urology, 23(4), 347. https://doi.org/10.4103/0970-1591.35050
  • Elhilali, M., Vallancien, G., Emberton, M., Alcaraz, A., Harving, N., Van Moorselaar, J., Matzkin, H., & Hartung, R. (2004). 225 Management of acute urinary retention (AUR) in patients with BPH: A worldwide comparison. European Urology Supplements, 3(2), 59. https://doi.org/10.1016/s1569-9056(04)90226-6
  • Emberton, M. (2006). Definition of at-risk patients: dynamic variables. BJU International, 97(s2), 12–15. https://doi.org/10.1111/j.1464-410x.2006.06099.x
  • Emberton, M., & Anson, K. (1999). Acute urinary retention in men: an age old problem. BMJ, 318(7188), 921–925. https://doi.org/10.1136/bmj.318.7188.921
  • Emberton, M., Lukacs, B., Matzkin, H., Alcaraz, A., Elhilali, M., & Vallancien, G. (2006). Response to Daily 10 Mg Alfuzosin Predicts Acute Urinary Retention and Benign Prostatic Hyperplasia Related Surgery in Men With Lower Urinary Tract Symptoms. Journal of Urology, 176(3), 1051– 1056. https://doi.org/10.1016/j.juro.2006.04.044
  • Horgan, A. F., Prasad, B., Waldron, D. J., & O’sullivan, D. C. (1992). Acute Urinary Retention. Comparison of Suprapubic and Urethral Catheterisation. British Journal of Urology, 70(2), 149–151. https://doi.org/10.1111/j.1464-410x.1992.tb15693.x
  • Mcneill, D., Mitchell, S., & Hargreave. (2001). Sustained-release alfuzosin and trial without catheter after acute urinary retention: a prospective, placebo-controlled. BJU International, 84(6), 622–627. https://doi.org/10.1046/j.1464-410x.1999.00277.x
  • Mcneill, S. A., & Hargreave, T. B. (2004). Alfuzosin Once Daily Facilitates Return toVoiding in Patients in Acute Urinary Retention. Journal of Urology, 171(6 Part 1), 2316–2320. https://doi.org/10.1097/01.ju.0000127743.80759.7a
  • Thomas, K., Oades, G., Taylor-Hay, C., & Kirby, R. S. (2005). Acute urinary retention: what is the impact on patients’ quality of life? BJU International, 95(1), 72–76. https://doi.org/10.1111/j.1464-410x.2004.05254.x

Cite this article

    APA : Hussain, K., Tariq, M., & Amin, I. (2022). Role of Suprapubic Cystostomy in BPH Patients Presented with first time for Acute Retention of Urine. Global Drug Design & Development Review, VII(IV), 14-20. https://doi.org/10.31703/gdddr.2022(VII-IV).02
    CHICAGO : Hussain, Khalid, Maria Tariq, and Imran Amin. 2022. "Role of Suprapubic Cystostomy in BPH Patients Presented with first time for Acute Retention of Urine." Global Drug Design & Development Review, VII (IV): 14-20 doi: 10.31703/gdddr.2022(VII-IV).02
    HARVARD : HUSSAIN, K., TARIQ, M. & AMIN, I. 2022. Role of Suprapubic Cystostomy in BPH Patients Presented with first time for Acute Retention of Urine. Global Drug Design & Development Review, VII, 14-20.
    MHRA : Hussain, Khalid, Maria Tariq, and Imran Amin. 2022. "Role of Suprapubic Cystostomy in BPH Patients Presented with first time for Acute Retention of Urine." Global Drug Design & Development Review, VII: 14-20
    MLA : Hussain, Khalid, Maria Tariq, and Imran Amin. "Role of Suprapubic Cystostomy in BPH Patients Presented with first time for Acute Retention of Urine." Global Drug Design & Development Review, VII.IV (2022): 14-20 Print.
    OXFORD : Hussain, Khalid, Tariq, Maria, and Amin, Imran (2022), "Role of Suprapubic Cystostomy in BPH Patients Presented with first time for Acute Retention of Urine", Global Drug Design & Development Review, VII (IV), 14-20
    TURABIAN : Hussain, Khalid, Maria Tariq, and Imran Amin. "Role of Suprapubic Cystostomy in BPH Patients Presented with first time for Acute Retention of Urine." Global Drug Design & Development Review VII, no. IV (2022): 14-20. https://doi.org/10.31703/gdddr.2022(VII-IV).02