Urinary Retention in Adults Male Patients: Causes and Complications among Patients Managed in a Teaching Hospital in North Western Nigeria
- 1 Urology Unit, Department of Surgery, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
- 2 Urology Unit, Department of Surgery, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
- 3 Urology Unit, Department of Surgery, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
- 4 Urology Unit, Department of Surgery, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
- 5 Urology Unit, Department of Surgery, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
Abstract
Background: Urinary retention is one of the common urologic emergencies constituting a significant workload of urologists and non-urologists alike. Aims and Objectives: This study was undertaken to identify the causes and complications associated with urinary retention in adult male patients at AKTH, Kano. Patients and Methods: It was a prospective hospital-based study of 110 consecutive adult male patients who presented to Aminu Kano Teaching Hospital, Kano with urinary retention over 12 months. On presentation, a brief history was taken and rapid physical examination done; the urinary retention was relieved by urethral catheterization or suprapubic cystostomy. A detailed history and thorough physical examination findings were later obtained. Results: One hundred and ten patients were seen during the study period. There ages ranged from 17 to100 years with a mean of 56 ± 19.3 SD years. Patients within the age range 55 - 74 years accounted for the largest group, (25.5% + 23.6% = 49.1%). The most common cause of urinary retention in this study was benign prostatic hyperplasia (51.8% of the patients). This was followed by urethral stricture (20%), cancer of the prostate (7.3%), urethral injury (7.3%) and bladder tumour (6.4%). More than half of the patients (53.4%) presented with acute urinary retention, 30.5% presented with chronic urinary retention, and 16.1% were diagnosed to have acute-on-chronic urinary retention. The complications of urinary retention found were: urinary tract infection (in 24.5% of patients), renal impairment (14.5%), and anaemia (11.8%). Conclusion: Urinary retention is commoner among the middle aged and the elderly. Benign prostatic hyperplasia remains the leading cause of urinary retention. Acute urinary retention was the commonest type of urinary retention; however, complications due to the retention were associated with chronic and acute-on-chronic urinary retention.
- (2010) Urethra, Penis and Prostate. In: Klufio, G.D., Yeboah, E.D., Badoe, E.A., Archampong, E.Q. and da Rocha Afodu, J.T., Eds., Principles and Practice of Surgery including Pathology in the Tropics, 4th Edition, Ghana Publishing Company, Accra, 881-883, 914-915, 920-952.
- Odunayo, K. and Mark, J.S. (2009) Management of Acute and Chronic Retention in Men. European Urology Supplements, 8, 523-529. http://dx.doi.org/10.1016/j.eursup.2009.02.002
- John, M.F., Francois, D., Kamel, A., et al. (2011) Management of Acute Urinary Retention: A Worldwide Survey of 6074 Men with Benign Prostatic Hyperplasia. BJU International, 109, 88-95.
- Brian, A., Selius, D.O. and Rajesh, S. (2008) Urinary Retention in Adults: Diagnosis and Initial Management. American Family Physician, 77, 643-650.
- Mbibu, N.H., Nwofor, A.M.E. and Khalid, L. (2002) Spectrum of Urologic Disease in the West African Sub Region. Annals of African Medicine, 1, 44-52.
- Fall, B., Diao, B., Fall, P.A., et al. (2008) Urological Emergencies at the Dakar University Teaching Hospital: Epidemiological, Clinical and Therapeutic Features. Journal de L’Association Francaise D’urologie et de la Societe Francaise D’urologie, 18, 650-653. http://dx.doi.org/10.1016/j.purol.2008.04.004
- Patterson, J.M. and Chapple, C.R. (2007) Failure of Urinary Drainage: Lower Tract. In: Markus, H. and Santucci, R.A., Eds., Emergencies in Urology, 118-131. http://dx.doi.org/10.1007/978-3-540-48605-3_11
- Ndaguatha, P.L.W. (2003) Unusual Bladder Outflow Obstruction by Hydatid Disease: Case Report. East African Medical Journal, 80, 388-390.
- Policastro, M.A. (2011) Urinary Obstruction. http://emedicine.medscape.com/article/778456-overview
- Wagenlehner, F.M.E., Pilatz, A., Naber, K.G., et al. (2008) Therapeutic Challenges of Urosepsis. European Journal of Clinical Investigation, 38, 45-49. http://dx.doi.org/10.1111/j.1365-2362.2008.02008.x
- Tanagho, E.A. (2008) Urinary Obstruction and Stasis. In: Tanagho, E.A. and McAninch, J.W., Eds., Smith’s General Urology, 17th Edition, 166-177.
- Carlo, L.A., Negro and Gordon, H.M. (2012) Chronic Urinary Retention in Men: How We Define It, and How It Does Affect Treatment Outcome. BJU International, 2, 1-5.
- Ahmed, A. and Kalayi, G.D. (1998) Urethral Stricture at Ahmadu Bello University Teaching Hospital, Zaria. East African Medical Journal, 75, 582-585.