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Acute urinary retention in early pregnancy: how far should the investigation go?
Chukwudi O. Okorie
Urogynaecologia International Journal , 2012, DOI: 10.4081/uij.2012.e5
Abstract: Acute urinary retention in early pregnancy is a rare but serious problem. In most cases a causative factor can be identified. In the absence of a readily identifiable causative factor following basic investigation, the further diagnostic and treatment approach can be a challenge, as there are no defined guidelines. A case of acute urinary retention in early pregnancy with no readily identifiable cause managed by patient self-intermittent catheterization on outpatient basis is hereby reported.
Imperforate Hymen Presenting as Acute Urinary Retention in a 14-Year-Old Nigerian Girl
OO Anselm, UH Ezegwui
Journal of Surgical Technique and Case Report , 2010,
Abstract: Acute urinary retention in adolescent females is rare, just like imperforate hymen. We present a case of acute urinary retention secondary to imperforate hymen in a 14–year-old Nigerian girl. Its diagnosis and treatment are discussed with a brief review of literature. We highlight the need for a thorough evaluation in the female patient presenting with acute urinary retention, and also the need to provide better health facilities in rural areas in developing countries such as ours.
The Effect of Acute Urinary Retention on Serum Prostate-Specific Antigen Level  [cached]
Majeed Aliasgari,Mohammad Soleimani,Seyyed Mohammadmehdi Hosseini Moghaddam
Urology Journal , 2005,
Abstract: Introduction: Our aim was to evaluate the effect of acute urinary retention on serum prostate-specific antigen (PSA) level. Materials and Methods: Men aged 50 years and older who presented with acute urinary retention were studied. Patients with urethral stricture, neurogenic bladder, prostate cancer, and those with a history of recent instrumentation or prostate biopsy were excluded. Blood samples for serum PSA measurement were obtained (PSA1), and an indwelling urethral catheter was inserted for 2 weeks. Before catheter removal, a second blood sample for measurement of serum PSA level (PSA2) was obtained. In patients who were able to void, a third sample was obtained 3 weeks later (PSA3). In the first and second visits, digital rectal examinations (DRE1, DRE2) were performed to assess prostate volume. Mean PSA levels (PSA1, PSA2, and PSA3) and prostate volumes (DRE1, DRE2) were compared. Results: Forty-five patients with a mean age of 70.18 years (range 56 to 85 years) participated in this study. Mean PSA1 and PSA2 levels were 9.8 ng/mL and 5.05 ng/mL, respectively (P < 0.001; medians, 6.2 and 4.2 ng/mL). Mean prostate volumes at the time of retention and 2 weeks later were 43.4 mL and 37.8 mL, respectively (P < 0.001; medians, 45 and 40 mL). PSA3 was measured in 31 patients 2 weeks after catheter removal. In this group of patients, mean PSA2 and PSA3 levels were 5.03 ng/mL and 4.97 ng/mL, respectively (P = 0.49; medians, 4.3 and 4.1 ng/mL). Conclusion: Acute urinary retention can increase serum PSA levels by approximately 2 fold. In this series, we found that this effect may continue up to 2 weeks.
Adenomyomatous polyp causing acute urinary retention in a postmenopausal woman  [PDF]
Mehmet S?dd?k Evsen,Muhammet Erdal Sak,Hatice Ender Soydin?,Hatice Gümü?
Journal of Clinical and Experimental Investigations , 2011,
Abstract: A case of adenomyomatous polyp (AP) causig acute urinary retention in postmenopausal period is presented. A 65-year-old, G8P8 women admitted to our clinic with the complaint of vaginal bleeding and vaginal mass was identified. During preoperative hospitalization she complained about not able to urinate. Serum urea and creatinine levels increased [66 mg/dL (range= 10-45) and 2,49 mg/dL (range= 0. 6-1.3) respectively]. Emergent abdominopelvic tomography showed vaginal mass and overdistended bladder. Mass was removed by vaginal route and abdominal hysterectomy was also performed. Pathologic examination revealed non-malignant AP with massive necrosis. A variety of female reproductive tract diseases can cause urinary obstruction. Treatment choice depends on reproductive expectance of the patient. J Clin Exp Invest 2011; 2 (3): 312-314.
Acute urinary retention as a late complication of subcutaneous liquid silicone injection: a case report
Leandro Luongo de Matos,Leonardo Seigra Lopes,Júlia Virgínia de Andrade Saggiomo,Eric Roger Wroclawski
Einstein (S?o Paulo) , 2009,
Abstract: Acute urinary retention is characterized by a sudden interruption of urinary output; urine is retained in the bladder due to either functional or obstructive anatomic factors, and cannot be voided. The main causes of acute urinary obstruction are benign prostatic hyperplasia, constipation, prostate adenocarcinoma, urethral stenosis, clot retention, neurological disorders, following surgery, calculi, drugs, or urinary tract infections. A transvestite patient, aged 55 years, described having had liquid silicone subcutaneously injected in various parts of the body, the last one four years ago. He complained of absent urinary output during the last 14 hours. The physical examination revealed skin deformation due to migration of implants; a hard nodule (characterized as a foreign body) was present in the preputium and a diagnosis of acute urinary retention was made; an unsuccessful attempt to exteriorize the glans for urinary catheterization, was followed by therapeutic cystostomy. Acute urinary retention has not been mentioned in the medical literature as a complication of liquid silicone subcutaneous injection.
A case of acute urinary retention after cesarean section caused by herpes zoster infection  [PDF]
Atsushi Yoshida, Kenji Ishii, Keiko Saito, Isao Azuma
Open Journal of Obstetrics and Gynecology (OJOG) , 2012, DOI: 10.4236/ojog.2012.23040
Abstract: We experienced a case of acute urinary retention after an elective cesarean section. In this case, an epidural catheter was inserted for the postoperative pain relief, and we had to rule out anesthetic complications including epidural hematoma. After careful investigation, sacral herpes zoster was found to be responsible for urinary retention. Early administration of antiviral agent was started and the outcome was good. As various factors may lead to postpartum urinary disorders, we should be careful not to miss serious complications.
The risk factors for acute urinary retention in patients with benign prostatic hyperplasia
Hüseyin Cihan Demirel,Cevdet Serkan G?kkaya,Cüneyt ?zden,Binhan Ka?an Akta?
Turkish Journal of Urology , 2012,
Abstract: Objective: The most common cause of obstructive acute urinary retention (AUR) is benign prostatic hyperplasia (BPH). To investigate the etiology of AUR, we evaluated the relationship between AUR and histological prostatic inflammation in patients with BPH. Materials and Methods: Between January and December of 2008, 226 patients who underwent transurethral resection of prostate (TURP) for AUR or lower urinary tract symptoms (LUTS) as a result of BPH were included in the study. Patients were classified into AUR(+) (n=89) and AUR(-) (n=137) groups. The two groups were compared along the following dimensions: age, weight of resected prostatic tissue (Rt), total prostate specific antigen (tPSA) levels and the presence of inflammation in the prostatic pathology. Independent risk factors for AUR were evaluated using logistic regression analysis. P values <0.05 were considered significant.Results: The mean age of the 226 patients was 67.7±7.7 years; the mean tPSA level was 6.45±4.97 ng/ml; and the mean weight of resected prostatic tissue (Rt) was 25.47±21.77 g. The mean age and Rt of the AUR(+) group were significantly higher than those of the AUR(-) group (p<0.0001 and p=0.031, respectively). The odds of AUR were significantly higher in the patients with inflammation than in those without (p=0.049). An age over 70 years, more than 25 g resected tissue and the presence of prostatic inflammation were independent risk factors for AUR in the logistic regression analysis.Conclusion: Our results indicated that being older than 70 years of age, ≥25 g Rt in TURP and the presence of prostatic inflammation were independent risk factors for AUR in patients with BPH.
Renal cell carcinoma in an ectopic pelvic kidney in a patient presenting with acute urinary retention
Isabella Dash,Iain Lyburn,Richard Kinder
Journal of Surgical Case Reports , 2010,
Abstract: The incidence of renal cell carcinoma in a pelvic kidney is rare, and has only been described in a very small number of cases. We describe a case where an incidental ectopic kidney with invasive renal cell carcinoma was diagnosed during a separate emergency admission for acute urinary retention.
Acute Urinary Retention among Adult Men at Bobo-Dioulasso University Teaching Hospital: Epidemiology, Aetiologies and Initial Management  [PDF]
Zaré Cyprien, Kambou Timothée, Ouattara Adama, Paré Abdoul Karim, Yé O. Delphine, Bénao B. Lazard, Belemlilga G. L. Herman, Yabré Nassirou, Traore I. Alain, Barro Drissa
Open Journal of Urology (OJU) , 2015, DOI: 10.4236/oju.2015.56014
Abstract: We conducted a cross-sectional study between February 1st, 2012 and September 30, 2012 at Bobo-Dioulasso University Teaching hospital. The target population was all patients seen at the emergency services for acute urinary retention. Among the 155 patients admitted for urological emergencies, 104 (67.1%) had acute urinary retention. The average age of patients was 65 years, ranging from 23 to 89 years and the majority was more than 60 years old (77.8%) and lived in rural areas (64.4%). Prostate tumor pathology and urethral stricture were the most frequent diagnosis, and the renal function was impaired in 33.7% of cases. Urethrovesical drainage, cystocatheterism, and suprapubic cystostomy were the treatment approach in 56.0%, 28.0% and 15.2% of the cases. Acute urinary retention is the most common urological emergency and many complications are associated with urethrovesical sounding. These complications should therefore be prevented by improving acute urinary care.
Leiomyoma of the bladder presenting as acute urinary retention in a female patient: urodynamic analysis of lower urinary tract symptom; a case report
Masashi Matsushima, Hirotaka Asakura, Hirofumi Sakamoto, Minoru Horinaga, Yoko Nakahira, Hitoshi Yanaihara
BMC Urology , 2010, DOI: 10.1186/1471-2490-10-13
Abstract: A 56-year-old woman presented with acute urinary retention. Evaluations including ultrasound, magnetic resonance imaging, cystoscopy, and urodynamics contributed to a diagnosis of leiomyoma of the bladder. Various medications were ineffective for solving her lower urinary tract symptoms; therefore, a transurethral resection was performed. The final pathological report was leiomyoma. After the operation, her symptoms resolved; this improvement was confirmed by an urodynamic analysis. The postoperative urodynamics demonstrated a lower frequency of detrusor overactivity during filling cystometry and an increase in the uroflow rate, with reduced detrusor pressure in a pressure flow study.Leiomyoma of the bladder can cause female outlet obstruction. A review of the literature and disease management is discussed.Most bladder tumors are derived from the urothelium. Benign mesenchymal tumors are rare and comprise 1 to 5% of all bladder neoplasms [1]. Among them, leiomyoma is the most common benign neoplasm, accounting for 0.43% of bladder tumors [2]. Approximately 75% of the patients are young or middle aged [3]. We present a case of leiomyoma of the bladder with acute urinary retention in a female patient and report on the urodynamic changes after transurethral resection (TUR). A literature search of PubMed using the terms leiomyoma of the bladder and urodynamics suggested that only one other case of a bladder leiomyoma with acute urinary retention in a female patient who was evaluated using urodynamics has been previously published [4]. To our knowledge, there are few cases describing an urodynamic evaluation of a female patient with a bladder leiomyoma. Here, we present and discuss an exemplary case of lower urinary tract symptom (LUTS) caused by a leiomyoma of the bladder.A 56-year-old woman presented at our hospital with an episode of acute urinary retention. She also complained of urinary frequency and urgency for the past 4 months. A physical examination did not reve
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