scholarly journals Effect of Planned Nursing Interventions on the Prevention of Acute Urinary Retention (AUR) in Male Patients after Cardiac Catheterization

2017 ◽  
Vol 25 (2) ◽  
pp. 8-15
Author(s):  
Mahnaz Khatiban ◽  
Mohammadreza Setvati Basir ◽  
Mohsen Salavati ◽  
Alireza Soltanian
Keyword(s):  
Urinary Retention ◽  
Cardiac Catheterization ◽  
Acute Urinary Retention ◽  
Nursing Interventions ◽  
Male Patients

Effect of wet gauze on relief of acute urinary retention in male patients after cardiac catheterization: a randomized controlled clinical trial

2021 ◽  
Author(s):  
Mohammadtaghi Sarebanhassanabadi ◽  
Samad Niknahad ◽  
Zohreh Khavari ◽  
Leila Nasiri ◽  
Sakineh Ganji ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Urinary Retention ◽  
Cardiac Catheterization ◽  
Acute Urinary Retention ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Randomized Controlled ◽  
Tepid Water ◽  
Significant Difference ◽  
Male Patients

Objectives: Acute urinary retention (AUR) can occur as a complication after surgery or cardiac catheterization. The aim of this study was to evaluate the effect of wet gauze on relief of AUR in male patients after cardiac catheterization. Methods: In this randomized controlled clinical trial, 36 male patients developing AUR after cardiac catheterization in Afshar Hospital, Yazd, Iran, were allocated to three groups; 13 patients in the group of immersed gauze in tepid water (40 centigrade), 12 patients in the dry gauze group, and 11 patients in the group without any intervention. The gauze was applied on symphysis pubis area. Elimination of AUR was compared between the three groups using chi-square analysis. One-way analysis of variance was used to find significant differences among the three groups regarding the time of relief from AUR. Results: The frequency of the relief of AUR was 61.5%, 25 %, and 9.1% in the groups of wet gauze, dry gauze and without intervention, respectively. There was a significant difference in relief of AUR among all groups (P = 0.022). The difference in relief of AUR between wet gauze group and other two groups was significant, too (P = 0.007). There was no significant difference in the time of relief of AUR among the three groups. Conclusions: According to the results of the study, it can be recommended to apply a gauze immersed in tepid water on the suprapubic area in male patients after cardiac catheterization to relieve AUR.

Acute Urinary Retention: How Useful is an Ambulatory Care Protocol?

2009 ◽  
Vol 16 (3) ◽  
pp. 134-140 ◽  
Author(s):  
YK Li ◽  
CS Leung ◽  
TL Hui ◽  
LH Chiu
Keyword(s):  
Ambulatory Care ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Urinary Catheter ◽  
Retention Volume ◽  
Binary Logistic Regression ◽  
Urine Retention ◽  
Care Protocol ◽  
Successful Weaning ◽  
Male Patients

Introduction Acute urinary retention (AUR) is a common urological presentation to emergency departments (ED). An ambulatory care protocol had been developed allowing trial without catheterization (TWOC) instead of admission to hospital after catheterization in the ED. This study aimed to evaluate the efficacy of the ambulatory care protocol for patients with AUR. The secondary aim was to identify any independent predictor(s) for successful weaning of urinary catheter in a short duration. Methods This was a prospective cohort study. A total of 143 male patients presenting with an episode of AUR underwent urinary catheterization once. Those who were unable to pass urine afterwards were catheterized again and discharged home with a urinary catheter in-situ (Day 0). On Day 3, ability of spontaneous urination was assessed. If failed, spontaneous urination was assessed again on Day 6. Results Successful TWOC was recorded in 50.3% of the 143 patients after first catheterization. The cumulative successful rates for first (Day 3) and second (Day 6) follow-ups were 76.9% and 79.0%, respectively. Among the associated predictors, only the urine retention volume on first catheterization was found to be independently associated with successful TWOC, using binary logistic regression (p=0.001). Conclusion The ambulatory care protocol was successful in weaning off urinary catheter for 50.3% of patients with AUR after first catheterization and a further 26.6% on Day 3, making a cumulative success rate of 76.9%. Those who failed TWOC on Day 3 would get little benefit on further trials. The first catheterization volume was independently associated with the chance of successful TWOC.

scholarly journals The effect of warm compresses on urinary retention in male patients after cardiac catheterization hospitalized in military hospitals

2015 ◽  
Vol 2 (3) ◽  
pp. 143-149
Author(s):  
H. Seyed alangi ◽  
SA. Sajadi ◽  
Z. Farsi ◽  
E. mohamad nejad ◽  
◽  
...  
Keyword(s):  
Urinary Retention ◽  
Cardiac Catheterization ◽  
Military Hospitals ◽  
Male Patients

scholarly journals A Prospective Pilot Study to Validate the Management Protocol for Patients Presenting with Acute Urinary Retention: A Community-Based, Nonhospitalised Protocol

2006 ◽  
Vol 6 ◽  
pp. 2436-2441 ◽  
Author(s):  
Shyamala S. Gopi ◽  
Chris M. Goodman ◽  
Allison Robertson ◽  
Derek J. Byrne
Keyword(s):  
Emergency Department ◽  
Urinary Retention ◽  
Flow Rate ◽  
Acute Urinary Retention ◽  
Peak Flow ◽  
Successful Implementation ◽  
Residual Volume ◽  
Peak Flow Rate ◽  
Male Patients ◽  
Trial Without Catheter

Acute urinary retention (AUR) in males is managed conventionally by hospital admission, alpha-adrenergic therapy, and trial without catheter. To reduce inpatient bed pressures, we set up a protocol to manage such patients in the community. We review our results in this paper. We performed a prospective study of male patients presenting to our acute admissions ward and Accident and Emergency department over 6 months. Patients with chronic urinary retention, macroscopic haematuria, sepsis, urinary tract infection, and/or serum creatinine >130 mmol/l were excluded from the study. Those enrolled were catheterised, commenced on alfuzosin (10 mg nocte), and discharged to the community. A trial without catheter (TWOC) was performed 5—7 days later. QoL/IPSS, peak flow rate, and residual volume assessment were performed following successful TWOC 3 months later.Thirty-one male patients with a median age of 69 years were studied and the median residual volume following catheterisation was 900 ml. The aetiology of AUR was benign prostatic hyperplasia (BPH) in 29 patients and constipation in the remaining 2 patients. TWOC was successful in 19 patients (61.3%) following first TWOC, 26 (83.9%) following second trial of voiding. The mean peak flow rate was 6.5 ml/sec and postvoid scan 165 ml, following an immediate TWOC. At 3 months follow-up, mean peak flow rate was 13.2 ml/sec, postvoid scan 26.5 ml, IPSS 4.5, and QoL score was 2. This study has shown that AUR can be managed safely and effectively in the community. Effective communication with the nurse urology specialist, general practitioner, and emergency department are crucial for the successful implementation of the protocol.

1507: Acute Urinary Retention is Associated with an Increased Risk of Mortality

2007 ◽  
Vol 177 (4S) ◽  
pp. 497-497
Author(s):  
James Armitage ◽  
Nokuthaba Sibanda ◽  
Paul Cathcart ◽  
Mark Emberton ◽  
Jan Van Der Meulen
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Risk Of Mortality ◽  
Increased Risk
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