Effect of constipation on acute urinary retention following transrectal prostate biopsy
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Korean Urological Assoc
Access Rights
info:eu-repo/semantics/openAccess
Abstract
Purpose: To evaluate the possible effect of constipation on the acute urinary retention (AUR) after transrectal ultrasound-guidedMaterials and Methods: A total of 1,167 patients with prostate-specific antigen (PSA) >4 ng/mL and/or abnormal digital rectal examination underwent a standard 12 core transrectal ultrasound-guided prostate needle biopsy in our hospital and the findings were examined prospectively. Chronic constipation (CC) was defined according to the Rome IV criteria. All cases were well evaluated with respect to clinical-histopathological factors; International Prostate Symptom Score (IPSS), prostate volume, post-voidResults: The mean age of patients was 64.63 +/- 8.31 years, the PSA level was 11.60 +/- 16.83 ng/mL, and the prostate volume was 54.66 +/- 25.44 mL. In 265 cases (22.7%), CC anamnesis was present and AUR developed in 28 (2.4%) of the cases. In the multivariate analysis for the risk of developing urinary retention, prostate volume, pre-operative IPSS, and presence of CC requiring manual maneuvers to facilitate defecation were found to be risk factors (p=0.023, 0.010, and 0.001, respectively).Conclusions: Our findings demonstrated that CC may be a critical factor in the prediction of AUR formation following TRUS PB.
Description
Keywords
Biopsy, Constipation, Prostate, Urinary retention, Voiding Impairment, Rectal Distension, Complications, Children, Bladder, Adults, Impact
Journal or Series
Investigative And Clinical Urology
WoS Q Value
Q2
Scopus Q Value
Q2
Volume
64
Issue
3
