For a study, researchers sought to examine the available treatments for males with chronic urine retention (CUR) and any potential side effects and problems.

In a major Dutch non-academic teaching hospital, male patients with a non-neurogenic, symptomatic, and/or high-risk CUR >150 mL were included in the retrospective cohort research. Incidence rate ratios (IRRs) were estimated using data on therapies, side effects, and repercussions (such as diagnostics, extra treatments, and hospital contact).

With a median follow-up of 68 months (range, 1-319) and a median of 8 occurrences (range, 1-51), they included 177 patients (median age, 77 years; range, 44-94). Most patients started out with a urethral catheter (74%) and ended up with some kind of catheterization (87%). After de-obstructive prostate surgery, catheterization was more likely to be discontinued than in non-surgical patients (IRR, 4.18; P< 0.001). Catheterization increased the likelihood of urinary tract infection (IRR, 3.68; P< 0.001) and macroscopic hematuria (IRR, 5.35; P< 0.001), while individuals without catheterization were more likely to experience post-renal issues (IRR, 25.36; P <0.001). Clean intermittent catheterization had the lowest risk of difficulties, and these issues were often handled in outpatient (77%) or emergency (6%) settings rather than by hospitalization (17%).

Most patients needed catheterization for CUR, and clean intermittent catheterization was preferable since it had a decreased risk of complications. However, in appropriate circumstances, de-obstructive prostate surgery may be recommended since it enhances the likelihood that catheterization will end.

Reference: goldjournal.net/article/S0090-4295(22)00298-9/fulltext