DOI: https://doi.org/10.36347/sasjs.2025.v11i10.011

Pages: 998-1001

Objective: This study explores the clinical features that may predict the likelihood of requiring surgical management in patients with benign prostatic hyperplasia (BPH) following an episode of acute urinary retention (AUR). Materials and Methods: This is a retrospective study on 216 male patients presenting with AUR attributed to BPH between February 2024 and August 2025 at Royal medical services emergency department (RMS), Jordan. Patients were grouped based on post-catheterization outcomes: - Group 1 (n=72): Underwent transurethral resection of the prostate (TURP) after unsuccessful voiding. - Group 2 (n=144): Successfully voided following catheter removal and continued medical therapy. Comparisons were made between the two groups for prostate volume, total prostate- specific antigen (tPSA), urinary flow rate (Qmax), and post-void residual (PVR). A p-value below 0.05 was considered statistically significant. Results: Patients who required surgery had significantly larger prostate volumes (64.2 ± 23.8 g vs. 52.6 ± 13.3 g, p = 0.0005), higher post-void residual volumes (82.5 ± 24.5 mL vs. 71.9 ± 21.4 mL, p = 0.0019), and lower urinary flow rates (11.2 ± 2.6 mL/s vs. 12.3 ± 2.6 mL/s, p = 0.0005). Serum total PSA was also higher in the surgical group (1.90 ± 1.3 vs. 1.22 ± 0.9 ng/mL, p = 0.0001). Conclusion: Greater prostate size, lower flow rates, increased PVR, and metabolic risk factors such as diabetes and smoking were significantly associated with the need for surgical treatment after AUR. Early identification of these predictors may support timely surgical referral and personalized patient care.