{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:34:20Z","timestamp":1770888860910,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the outcome, determine the predictors for the success of, and evaluate the efficacy of pharmacokinetic therapy on trial catheter removal for women with urinary retention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Inclusion criteria were female patients with acute urinary retention defined as painful, palpable, or percussive bladder, when the patient is unable to pass any urine, accompanied by postvoid residual (PVR)\u2009&gt;\u2009250\u2009ml, and who underwent trial catheter removal between July 2009 and July 2019. Before trial catheter removal, alpha\u2010blockers alone or alpha\u2010blockers and parasympathomimetics (bethanechol or distigmine bromide) were used to facilitate spontaneous voiding in some cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010nine of 104 (56.7%) women with urinary retention were catheter\u2010free post trial. There was no significant difference between successful and non\u2010successful trials in average age (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.392), median ECOG (Eastern Cooperative Oncology Group) performance status (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.374), diabetes mellitus (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.842), dementia (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.801), previous history of cerebrovascular events (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.592), or intrapelvic surgery (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.800). Oral medications were administered for 39\/59 (66.1%) in the success group and 30\/45 (66.7%) patients in the non\u2010success groups (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.598).<\/jats:p><jats:p>Serum albumin (3.2\u2009\u00b1\u20090.7\u2009g\/dl and 2.8\u2009\u00b1\u20090.8\u2009g\/dl, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.039) and total protein values (6.5\u2009\u00b1\u20090.8\u2009g\/dl and 6.0\u2009\u00b1\u20091.0\u2009g\/dl, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.038) at diagnosis of urinary retention were higher in the success group than the non\u2010success group, respectively.<\/jats:p><jats:p>Multivariate logistic regression found that a serum albumin &gt;3\u2009g\/dl was an independent predictor of successful trial catheter removal for women with urinary retention (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.030, odds ratio [OR] 3.3, 95% confidence interval [CI] of OR 1.1\u20139.9). Age\u2009&lt;\u200970\u2009years old was a likely predictor of successful trial catheter removal (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.066, OR 4.8, 95% CI of OR 0.9\u201325.0).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is the first retrospective study to investigate the predictive factors for successful trial catheter removal in women with urinary retention. A serum albumin value &gt;3\u2009mg\/dl at diagnosis of urinary retention was a significant independent predictor of catheter\u2010free status after trial catheter removal, and age\u2009&lt;\u200970\u2009years\u2010old was a possible contributor. There was no evidence that oral medication contributed to catheter\u2010free status.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.12464","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T23:53:58Z","timestamp":1666050838000},"page":"4-10","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Predictive factors for the success of trial catheter removal for women with urinary retention"],"prefix":"10.1111","volume":"15","author":[{"given":"Masato","family":"Takanashi","sequence":"first","affiliation":[{"name":"Department of Urology Yokosuka Kyosai Hospital  Yokosuka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4433-370X","authenticated-orcid":false,"given":"Hiroki","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Urology Yokosuka Kyosai Hospital  Yokosuka Japan"},{"name":"Department of Urology Yokohama City University Graduate School of Medicine  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Fukazawa","sequence":"additional","affiliation":[{"name":"Department of Urology Yokosuka Kyosai Hospital  Yokosuka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Risa","family":"Shinoki","sequence":"additional","affiliation":[{"name":"Department of Urology Yokosuka Kyosai Hospital  Yokosuka Japan"},{"name":"Department of Urology Yokohama City University Graduate School of Medicine  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Tabei","sequence":"additional","affiliation":[{"name":"Department of Urology Yokosuka Kyosai Hospital  Yokosuka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7049-3379","authenticated-orcid":false,"given":"Takashi","family":"Kawahara","sequence":"additional","affiliation":[{"name":"Department of Urology Yokohama City University Graduate School of Medicine  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Urology Yokosuka Kyosai Hospital  Yokosuka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.01.046"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.10.015"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.07.037"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-014-0811-1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23248"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2012.53.5.342"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(03)00246-2"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03324475"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10430.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23194"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/21681805.2014.903512"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.5213\/inj.2011.15.3.158"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","unstructured":"ZeifHJ SubramonianK.Alpha blockers prior to removal of a catheter for acute urinary retention in adult men. 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