CHARACTERISTIC OF URINARY RETENTION IN DEPARTMENT OF UROLOGY SOETOMO GENERAL HOSPITAL SURABAYA
Abstract: We analyze our data
of patients with urinary retention that have been managed in Soetomo general
hospital to know our prevalence, causes and its management. Material &
methods: We retrospectively reviewed the medical records of the patients with
urinary retention who admitted on our department between January 2011 and
December 2012. Results: During 2 years
between January 2011 until December 2012, a total number of urinary retention
was 295 cases among 1282 urology emergency cases, with sex ratio of urinary
retention in men and women was 85.7% : 14.3%. Of the study population 264
(89.5%) presented with acute urine retention while 31 (10.5%) had chronic urine
retention. Most of urinary retention was caused by bladder stone (33.3%) in
children, urethral stricture (26.8%) in young adult men, BPH (71.3%) in elder
men and cystitis (26.3%) in women. Trial of voiding without catheter (TWOC)
that performed in 60 of the BPH patients, was succeeded in 43 (71.6%) of the
patients and failed in 17 (28.4%). Emergency treatment of urinary retention
were urethral catheter (83.7%) and cystostomy (16.3%). Conclusion: Urinary
retention is one of emergency in urology that most common occur in men. Urine
retention found among the participants was mainly AUR rather than CUR. Most of
urinary retention was caused by bladder stone in children, urethral stricture
in young adult men, BPE in elder men and cystitis in women. The most emergency
management was urethral catheter. Trial of voiding without catheter showed a
high success rate, so it can be considered as definitive non-surgical therapy
in selective patient.
Keywords: Urinary retention;
urethral catheter; cystostomy; trial of voiding without catheter
Author: Sonny Andikha
Wardhana, Moh. Ayodhia Soebadi, Sunaryo hardjowijoto
Journal Code: jpkedokterangg170014
