DOI: 10.36347/sjams.2020.v08i05.035

Pages: 1344-1347

Acute urinary retention (AUR) is a urological emergency and can affect about 5-25 per 1000 person years. It accounts for one third of patients requiring surgery for benign prostatic hyperplasia (BPH). The initial management of AUR is per urethral catheterization for bladder decompression following which patients are advised alpha blocker and called for trial of voiding without catheter at a later date. If the trial without catheter (TWOC) fails, one may need surgical intervention. The objective of our study was to assess whether the grade of intravesical prostatic projection (IPP) can predict the outcome of TWOC following an episode of AUR. A total of ninety patients coming to our outdoor in a study period of one year were included. It was observed that the failure rate of TWOC of grade III IPP was significantly higher compared to grade I and grade II but age and prostate volume had no significant impact on the outcome of TWOC in these patients. We conclude that IPP is a strong predictor of the outcome of TWOC in patients with AUR due to BPH.