{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:34:43Z","timestamp":1770888883939,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T00:00:00Z","timestamp":1685923200000},"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":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the trial of spontaneous urination without catheter (TWOC) outcomes for men with acute urinary retention, determine successful TWOC predictors, and evaluate the impact of add\u2010on medication therapy on TWOC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included men with acute urinary retention and post\u2010void residual (PVR) &gt;250\u2009mL who underwent TWOC between July 2009 and July 2019. Patients were divided into a medicated group who received alpha1 blocker on urinary retention diagnosis and a na\u00efve group who did not. The trial was defined as unsuccessful if the PVR was &gt;150\u2009mL or if the patient experienced difficulty emptying their bladder with abdominal discomfort or pain, and a transurethral catheter was reinserted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 576 men with urinary retention, 269 (46.7%) constituted the medicated group and 307 (53.3%) the na\u00efve. The na\u00efve group comprised more elderly patients (<jats:italic>P<\/jats:italic>\u2009=\u20090.010) with higher Eastern Cooperative Oncology Group performance status (PS) (<jats:italic>P<\/jats:italic>\u2009=\u20090.001) and smaller prostate volume (<jats:italic>P<\/jats:italic>\u2009=\u20090.028) than the other. In the medicated group, 153 men received additional oral medication before TWOC to increase the success rate. There were significant age differences (<jats:italic>P<\/jats:italic>\u2009=\u20090.041) in the medicated group and significant median PS differences (<jats:italic>P<\/jats:italic>\u2009=\u20090.010) in the na\u00efve group between the successful and unsuccessful outcomes of TWOC. The multivariate logistic regression model demonstrated that age &lt;80\u2009years in medicated patients (<jats:italic>P<\/jats:italic>\u2009=\u20090.042, odds ratio [OR] 1.701) and PS &lt;2 in na\u00efve patients (<jats:italic>P<\/jats:italic>\u2009=\u20090.001, OR 2.710) were significant independent predictors of successful TWOC outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is the first study classifying patients with urinary retention according to medication status. Both medicated and na\u00efve groups had different patient backgrounds and TWOC outcome predictors, suggesting a discrepant etiology behind urinary retention. Hence, acute urinary retention management in men should vary based on medication status for male lower urinary tract symptoms when urinary retention is diagnosed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.12492","type":"journal-article","created":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T08:43:53Z","timestamp":1686127433000},"page":"173-179","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Predictive factors for the success of trial without catheter for men 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 Yokohama City University Graduate School of Medicine  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Takizawa","sequence":"additional","affiliation":[{"name":"Department of Urology Yokohama City University Graduate School of Medicine  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mari","family":"Hioki","sequence":"additional","affiliation":[{"name":"Department of Urology Yokohama City University Graduate School of Medicine  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Risa","family":"Shinoki","sequence":"additional","affiliation":[{"name":"Department of Urology Yokohama City University Graduate School of Medicine  Yokohama 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 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