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Acute urinary retention associated with prostatic carcinoma.

Publication ,  Journal Article
Moul, JW; Davis, R; Vaccaro, JA; Sihelnik, SA; Belville, WD; McLeod, DG
Published in: J Urol
June 1989

We describe the prospective evaluation of 90 patients seen at 2 medical centers who presented with acute urinary retention. All patients had a pre-retention history obtained, as well as careful prostate examination, perineal prostate biopsy and followup treatment or monitoring. Prostate cancer was found in 12 of the 90 patients (13.3 per cent), while 1 had metastatic leukemia to the prostate. Of the 90 patients 69 (76.7 per cent) had a palpably benign prostate and 2 malignancies (2.9 per cent) were diagnosed, while 11 malignancies occurred in 21 patients (52.4 per cent) with a suspicious examination. A total of 46 patients (51.1 per cent) underwent further prostate resection and no malignancy was found in any of these specimens: 43 underwent transurethral resection (24.9 gm. average), while 3 underwent open prostatectomy (97 gm. average). Other etiologies of acute retention included benign hyperplasia, other underlying illness, medical procedures, medications, prostatitis and prostatic infarction. Among the 44 patients who did not undergo prostatectomy 13 had treatment of the diagnosed cancer, 9 had resolution of retention and symptoms without intervention, 9 remained catheterized due to severe medical problems, 8 were treated for prostatitis, 2 had discontinuation of sympathomimetic drugs and 1 each underwent urethrotomy, bladder neck incision and resolution of prostatic infarction. In contrast to the older literature in which approximately 25 per cent of the patients presenting with acute urinary retention had prostate cancer, our data suggest a lower incidence. Prostatic biopsy for patients who present with acute urinary retention and a benign examination does not appear to be justified.

Duke Scholars

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

June 1989

Volume

141

Issue

6

Start / End Page

1375 / 1377

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urination Disorders
  • Urinary Catheterization
  • Prostatic Neoplasms
  • Prostatic Hyperplasia
  • Prospective Studies
  • Middle Aged
  • Male
  • Humans
  • Aged, 80 and over
 

Citation

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ICMJE
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Moul, J. W., Davis, R., Vaccaro, J. A., Sihelnik, S. A., Belville, W. D., & McLeod, D. G. (1989). Acute urinary retention associated with prostatic carcinoma. J Urol, 141(6), 1375–1377. https://doi.org/10.1016/s0022-5347(17)41312-7
Moul, J. W., R. Davis, J. A. Vaccaro, S. A. Sihelnik, W. D. Belville, and D. G. McLeod. “Acute urinary retention associated with prostatic carcinoma.J Urol 141, no. 6 (June 1989): 1375–77. https://doi.org/10.1016/s0022-5347(17)41312-7.
Moul JW, Davis R, Vaccaro JA, Sihelnik SA, Belville WD, McLeod DG. Acute urinary retention associated with prostatic carcinoma. J Urol. 1989 Jun;141(6):1375–7.
Moul, J. W., et al. “Acute urinary retention associated with prostatic carcinoma.J Urol, vol. 141, no. 6, June 1989, pp. 1375–77. Pubmed, doi:10.1016/s0022-5347(17)41312-7.
Moul JW, Davis R, Vaccaro JA, Sihelnik SA, Belville WD, McLeod DG. Acute urinary retention associated with prostatic carcinoma. J Urol. 1989 Jun;141(6):1375–1377.
Journal cover image

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

June 1989

Volume

141

Issue

6

Start / End Page

1375 / 1377

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urination Disorders
  • Urinary Catheterization
  • Prostatic Neoplasms
  • Prostatic Hyperplasia
  • Prospective Studies
  • Middle Aged
  • Male
  • Humans
  • Aged, 80 and over