The effect of urethral catheterisation on serum prostate- specific antigen levels in male patients with acute urinary retention.
Urethral catheterisation is often used in acute urinary retention (AUR). In this study, we aimed to evaluate the effect of urethral catheterisation on serum prostate-specific antigen (PSA) levels in men with AUR. Our study subjects comprised 35 men with a mean age of 63.7 +/- 7.35 years (range 55 - 80) who presented with AUR at our department between March 1999 and June 2000. Patients were randomly divided into two groups; 18 patients underwent urethral catheterisation in the first group (catheterisation group), while 17 underwent suprapubic percutaneous cystostomy in the second group (cystostomy group). Serum PSA levels before manipulation, and 2 and 12 hours and 7 days after treatment were determined. The change in median PSA values after manipulation was statistically significant in the catheterisation group (p < 0.05), but not in the cystostomy group (p > 0.05). The change in serum PSA was not clinically important in any of the patients. These results suggested that urethral catheterisation did not cause a significant alteration in serum PSA in men with AUR retention.
Erdogan
Kubilay
K
Department of First Urology Ward, Haydarpasa Numune State Hospital, Mersin Universitesi Tip Fakultesi Hastanesi, Zeytinlibahce Caddesi 33079, Mersin, Istanbul, Turkey. kubierdogan@hotmail.com
Gurdal
Mesut
M
Tekin
Ali
A
Kirecci
Sinan
S
Sengor
Feridun
F
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D017430:Prostate-Specific Antigen / Q000097:blood*; D014546:Urinary Catheterization; D016055:Urinary Retention / Q000097:blood* / Q000628:therapy*
D017430:Prostate-Specific Antigen