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A Nationwide Assessment of the Emergency Department Management of Acute Urinary Retention Due to Urethral Stricture.

Publication ,  Journal Article
Granieri, MA; Wang, H-HS; Routh, JC; Peterson, AC
Published in: Urology
February 2017

OBJECTIVE: To evaluate the nationwide practice patterns of the management of acute urinary retention (AUR) secondary to urethral stricture (US) in an emergency department (ED) setting. MATERIALS AND METHODS: We used the 2006-2010 Nationwide Emergency Department Sample to identify men with US who received treatment for AUR. We excluded patients with benign prostatic hyperplasia, vesicourethral anastomotic stenosis, neurogenic bladder, and bladder cancer. Primary outcome was urethral dilation or suprapubic tube (SPT) placement as initial AUR management. Patient demographics and hospital factors were also examined. Multivariate logistic regression was performed to examine factors associated with initial AUR management. RESULTS: We identified 4794 weighted ED encounters of men with US who underwent urethral dilation or SPT placement for AUR. Mean age was 58.6 ± 0.8 years. A total of 4084 (85%) men received urethral dilation, whereas 710 had SPT (15%) placement. In bivariate analysis, patients who received SPT were likely to be younger (P <.001), treated in recent years (P = .002), and in hospitals in the West region (P = .003). In multivariate analysis, SPT placement was significantly associated with younger age (P = .004), public insurance (P = .03), recent treatment years (P = .02), and hospitals in the West region (P = .02). Income and hospital teaching status did not have significant association with initial treatment choice. CONCLUSION: Urethral dilation remains the most common urologic intervention in the ED for AUR due to US; however, there is an increasing trend toward SPT placement. Patients who are younger, publicly insured, or who receive care in the West region are more likely to receive a SPT for initial treatment of AUR due to US.

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Published In

Urology

DOI

EISSN

1527-9995

Publication Date

February 2017

Volume

100

Start / End Page

79 / 83

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Retention
  • Urinary Catheterization
  • Urethral Stricture
  • United States
  • Socioeconomic Factors
  • Practice Patterns, Physicians'
  • Middle Aged
  • Male
  • Logistic Models
 

Citation

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ICMJE
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Granieri, M. A., Wang, H.-H., Routh, J. C., & Peterson, A. C. (2017). A Nationwide Assessment of the Emergency Department Management of Acute Urinary Retention Due to Urethral Stricture. Urology, 100, 79–83. https://doi.org/10.1016/j.urology.2016.08.026
Granieri, Michael A., Hsin-Hsiao S. Wang, Jonathan C. Routh, and Andrew C. Peterson. “A Nationwide Assessment of the Emergency Department Management of Acute Urinary Retention Due to Urethral Stricture.Urology 100 (February 2017): 79–83. https://doi.org/10.1016/j.urology.2016.08.026.
Granieri MA, Wang H-HS, Routh JC, Peterson AC. A Nationwide Assessment of the Emergency Department Management of Acute Urinary Retention Due to Urethral Stricture. Urology. 2017 Feb;100:79–83.
Granieri, Michael A., et al. “A Nationwide Assessment of the Emergency Department Management of Acute Urinary Retention Due to Urethral Stricture.Urology, vol. 100, Feb. 2017, pp. 79–83. Pubmed, doi:10.1016/j.urology.2016.08.026.
Granieri MA, Wang H-HS, Routh JC, Peterson AC. A Nationwide Assessment of the Emergency Department Management of Acute Urinary Retention Due to Urethral Stricture. Urology. 2017 Feb;100:79–83.
Journal cover image

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

February 2017

Volume

100

Start / End Page

79 / 83

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Retention
  • Urinary Catheterization
  • Urethral Stricture
  • United States
  • Socioeconomic Factors
  • Practice Patterns, Physicians'
  • Middle Aged
  • Male
  • Logistic Models