Clinical features of acute urine retention in patients with benign prostate hyperplasia.
10.3969/j.issn.1672-7347.2012.03.016
- Author:
Yichuan ZHANG
1
;
Leye HE
;
Zhi LONG
;
Xiaohui SUN
;
Guomin WANG
;
Xiaming PEI
;
Kuangbiao ZHONG
;
Qifa YE
Author Information
1. Department of Urology,Third Xiangya Hospital, Central South University, Changsha 410013, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Age Factors;
Aged;
Aged, 80 and over;
Humans;
Male;
Middle Aged;
Prostate-Specific Antigen;
blood;
Prostatic Hyperplasia;
complications;
pathology;
Retrospective Studies;
Risk Factors;
Urinary Retention;
epidemiology;
etiology
- From:
Journal of Central South University(Medical Sciences)
2012;37(3):300-304
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the clinical features of acute urine retention (AUR) ocurring in patients with benign prostate hyperplasia (BPH).
METHODS:Clinical data from 548 patients diagnosed with BPH were retrospectively studied, and the clinical parameters of these patients with or without AUR were analyzed by statistical methods.
RESULTS:Development of AUR was found in 164 patients (29.9%). Patients' age, IPSS, maximum flow rate (Q(max)), residual urine volume, prostate volume, transition zone volume, prostate-specific antigen (PSA) density, total PSA (tPSA) and free PSA (fPSA) including the ratio of free to total PSA(f/tPSA) were significantly different in the 2 groups (P<0.05), while there were no significant differences in the disease duration and transition zone index between the 2 groups (P>0.05). Multivariate logistic regression analysis showed that IPSS score, residual urine volume, tPSA, and Q(max) were risk factors for predicting the development of AUR.
CONCLUSION:BPH patient's age, IPSS, Q(max), residual urine volume, prostate volume, transition zone volume, tPSA and fPSA, and PSA density all influence the occurrence of AUR, in which symptom severity, residual urine volume, total PSA and Q(max) are the principal risk factors for prognosing AUR.
