Causes of post-prostatectomy retention.
Forty-eight patients in urinary retention following prostatectomy underwent urodynamic evaluation. Fifteen patients (31%) were found to have persistent residual obstruction, while 14 patients (29%) had detrusor hyporeflexia. In 9 patients (19%) a combination of outflow obstruction and detrusor hyporeflexia was demonstrated. In 6 patients (13%), urinary retention was due to compromised mental status. No abnormality was detected in remaining 4 patients (8%) on urodynamic evaluation. For proper evaluation of unsatisfactory voiding after prostatectomy cystoscopy is of limited value while urodynamic testing is essential.
Kahn
Z
Z
Department of Surgery, Beth Israel Medical Center, New York, New York.
Nadelson
E
E
Mieza
M
M
Singh
V K
VK
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011468:Prostatectomy; D016055:Urinary Retention / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery