Acute retention of urine - The surgical prospect

Background: Acute urinary retention is the most frequent symptom due to which patient presents in emergency department and is admitted for further evaluation and management. Aim was to study symptomatology of acute urinary retention, to study etiology and mechanism of acute urinary retention, to lay down the approach to a patient of acute urinary retention, to review the various of therapeutic modalities in acute urinary retention. Materials and methods: Patients with acute retention of urine were included in this study. After taking clinical history and routine examinations, specific laboratory and radiological investigations were done to find out the cause. In emergency, per urethral catheterization or suprapubic cystostomy/ puncture were done. According to cause, conservative or surgical management was done. All the data were recorded and compared. Results: Maximum patient were from age group 51-70 years (40%). Out of 100 cases of acute urinary retention all of them have sensation of fullness of bladder, 95 patient have pain in suprapubic region 85 patients have distension of lower abdomen or (suprapubic bulge), 10 patient are post operative. 7 patients had history of trauma to urethra. 37 out of 40 patient operated by Freyer’s prostatectomy. 3 patients were operated by transurethral resection of prostate (TURP). 27 patients had urethral stricture out of 100 patients. 1 patient had undergone stricturotomy plus Urethral repair. 19 out of 27 patients has undergone, urethral dilatation and advised to follow up for repeated dilatation. 7 patients were treated by cystoscopy with visual internal urethrotomy (Stricturotomy). Conclusion: Acute retention of urine is more common in elderly male in which benign prostatic hypertrophy a leading cause and TURP was the most effective treatment.