{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T22:15:59Z","timestamp":1759961759509,"version":"3.40.4"},"reference-count":11,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>&lt;i&gt;Objectives:&lt;\/i&gt; To assess for predictors of outcome in patients presenting with acute urinary retention (AUR). &lt;i&gt;Methods:&lt;\/i&gt; A study was performed in our unit to evaluate trial without catheter (TWOC) and successive management. We assessed for predictors of surgical or medical management, which included: age, volume drained at time of catheterisation, cause of retention, serum creatinine, success of trial of voiding, co-morbidities, prostate-specific antigen (PSA) and prostate size on digital rectal examination (DRE). &lt;i&gt;Results:&lt;\/i&gt; 72 men were entered into the study over an 18-month period: 27 had a successful first TWOC, 20 patients had a second TWOC, and 6 were successful. In total, 31 of the 33 patients with a successful TWOC remained on \u03b1-blockers without a further episode of AUR within a minimum of 6 months\u2019 follow-up. Patients failing TWOC were managed by transurethral resection of the prostate (n = 22), long-term catheterisation (n = 15) or prostatic stents (n = 3), and 1 patient died prior to intervention. Three predictors were significant on multivariate analysis: PSA (&gt;2.9 ng\/ml), prostate size on DRE (large) and volume drained at time of catheterisation (\u22651,000 ml). &lt;i&gt;Conclusion:&lt;\/i&gt; Patients with elevated PSA (&gt;2.9 ng\/ml), a large prostate size on DRE and a volume drained at time of catheterisation &gt;1,000 ml are best managed by surgical intervention, while those with volumes drained at time of catheterisation of &lt;1,000 ml, a PSA \u22642.9 ng\/ml, and moderate to small prostate on DRE may be managed medically.<\/jats:p>","DOI":"10.1159\/000224866","type":"journal-article","created":{"date-parts":[[2009,7,28]],"date-time":"2009-07-28T06:24:43Z","timestamp":1248762283000},"page":"39-43","source":"Crossref","is-referenced-by-count":11,"title":["Management Outcome of Acute Urinary Retention"],"prefix":"10.1159","volume":"83","author":[{"given":"P\u00e1draig","family":"Daly","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Connolly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eamonn","family":"Rogers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Sweeney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2009,7,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1464-410X.2004.04562.x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1464-410X.2004.05000.x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1464-410X.1989.tb05160.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-5347%2801%2964139-9"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097%2F01.ju.0000095474.86981.00"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1464-410x.2001.02273.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.urology.2004.07.042"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1464-410X.2005.05299.x"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1464-410x.2000.00918.x"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1464-410x.2000.00409.x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097%2F01.ju.0000127743.80759.7a"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/224866","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/224866","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T22:48:05Z","timestamp":1745448485000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000224866"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2009,7,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000224866","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2009]]}}}