255 Relationship between acute urinary retention episode and risk of death in men

Published Date: 12th October 2021

Publication Authors: Ejikeme C

Introduction
Acute urinary retention (AUR) is a urological emergency, with incidence increasing with age, being highest amongst men over 70 years. Such adverse events need to be managed properly to avoid complications. Studies have highlighted the association between urinary retention and death. Advancing age and co-morbidities are the two significant factors determining the outcomes of these patients.

Aim
The main outcome measure will be the death rate within 12 months of retention episode, irrespective of if first or subsequent episodes of retention.

Method
A total of 231 patients attended emergency department from January to June in the years of 2016 to 2018 with AUR. A total of 42 patients died following episode of urinary retention. Hospital records of these patients were examined with regards to their age at retention, date of retention and date of death. Co-Morbidities, details of any resulting admission and outcome of trial without catheter were also recorded.

Results
A total of 42 (17.9%) had died. 24 out of 42 (10.2%) died within twelve months of their episode of urinary retention; this represents 57% of all total death relating to this cohort. 16 (66.7%) cases of the 24 that died within 12 months were noted to have ASA of 3 and Charlson co-morbidity index of > 1. 15 (62.5%) cases of that died within 12 months also had long term catheter.

Conclusions
The management of AUR whilst aimed at immediate relief of retention and preventing possible complications, holistic patient approach should be adopted. Multi-disciplinary team involvement should be instituted as appropriate.

 

Ejikeme, C. (2021). 255 Relationship between acute urinary retention episode and risk of death in men. British Journal of Surgery. 108 (Suppl 6), pp vi278-vi279

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