naa a22 4500 510741517 CHVBK 20180411083030.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s11845-012-0859-9 doi (NATIONALLICENCE)springer-10.1007/s11845-012-0859-9 Emergency management of acute urinary retention: results from an all-Ireland urologist practice survey [Elektronische Daten] [I. Cullen, C. Dowling, J. Thornhill, R. Grainger] Introduction: Anecdotal evidence suggests that current service restrictions and operative cancellations are resulting in increased numbers of catheterized men in the community awaiting definitive management of their bladder outlet obstruction. We wished to analyse current admission policies and management strategies of acute urinary retention (AUR) secondary to benign prostatic enlargement (BPE) in Ireland. Methods: A total of 58 consultant urologists practicing in Ireland were sent a questionnaire about their management of AUR secondary to BPE. Data was collected relating to initial emergency management, timing of trial without catheter (TWOC), their use of alpha-blockers and follow-up policy. Results: Urethral catheterization is the initial management of choice by all 42 respondents. The patient is routinely admitted after catheterization by 20/42 consultants (48%) and 22/42 (52%) discharge the patient home with a urinary catheter (UC). TWOC is performed on day 2 in 11/20 (55%) and on day 3 in 9/20 (45%). In terms of individuals who admit patients presenting with AUR one failed TWOC is an indication for transurethral resection of the prostate in 10/20 (50%), with 6/20 (30%) performing a second TWOC on the same admission and 4/20 (20%) discharging the patient for interval TURP. A total of 83% of respondents, all of whom work in public institutions, expressed concerns relating to elective admission difficulties for definitive management of catheterized patients following AUR. Conclusion: There is variation in the admission policy for AUR in Ireland. Elective admission and operative restrictions for catheterized patients following episodes of AUR are causing concern to the urologists in Ireland. Royal Academy of Medicine in Ireland, 2012 Urinary retention nationallicence Urinary catheterization nationallicence Emergency management nationallicence Cullen I. Department of Urology, AMNCH, Tallaght, Dublin 24, Ireland aut Dowling C. Department of Urology, AMNCH, Tallaght, Dublin 24, Ireland aut Thornhill J. Department of Urology, AMNCH, Tallaght, Dublin 24, Ireland aut Grainger R. Department of Urology, AMNCH, Tallaght, Dublin 24, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/2(2013-06-01), 207-211 0021-1265 182:2<207 2013 182 11845 https://doi.org/10.1007/s11845-012-0859-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-012-0859-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cullen I. Department of Urology, AMNCH, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Dowling C. Department of Urology, AMNCH, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Thornhill J. Department of Urology, AMNCH, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Grainger R. Department of Urology, AMNCH, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/2(2013-06-01), 207-211 0021-1265 182:2<207 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer