{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T10:05:37Z","timestamp":1774346737911,"version":"3.50.1"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T00:00:00Z","timestamp":1748044800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>In men older than 50\u2009years, benign prostatic hyperplasia (BPH) is a common disease and progressive disease. Acute Urinary Retention (AUR) is one of the most common and painful long-term outcomes of BPH. Our study aimed at determining the risk factors which are responsible for developing AUR and formulating a novel scoring system known as \u201cRetention Score\u201d or \u201cCLAMP Score\u201d to predict the risk of developing AUR in BPH patients in future and manage them in advance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods:<\/jats:title>\n                    <jats:p>The present study was a hospital-based comparative study which was conducted at the department of Urology, Nil Ratan Sircar Medical College and Hospital. Two groups were compared one \u201cwith AUR\u201d and another \u201cwithout AUR.\u201d Various risk factors have been studied including age, international prostate symptom score (IPSS), comorbidities like diabetes mellitus, serum PSA etc. From the study we have formulated and validated a simple out-patient based risk scoring known as \u201cCLAMP Score\u201d by which we can stratify the BPH patients into various risk groups of developing AUR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>A total of 240 patients has been divided into two groups; 120 in each group. It was found that, majority number of patients with AUR are more than 60 years of age (92.5%) and has comorbidities (84.0%). 68% of these patients has a serum PSA over 1.4\u2009ng\/dL and a history of AUR (75%). The mean IPSS was 26.8 and intravesical prostatic projection is more than 12\u2009mm. Our proposed scoring system has a significant association with the patients with AUR group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study provides valuable insights into the associations between various risk factors and AUR in BPH patients. Our proposed scoring system will be of great help in predicting AUR in BPH patients on out-patient basis and treat them accordingly in advance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603251341397","type":"journal-article","created":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T02:46:17Z","timestamp":1748141177000},"page":"611-616","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cCLAMP Score\u201d to predict acute urinary retention in benign prostatic hyperplasia patients"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3181-2090","authenticated-orcid":false,"given":"Saurav","family":"Karmakar","sequence":"first","affiliation":[{"name":"Department of Urology, B R Singh Hospital, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asim Kumar","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Urology, Burdwan Medical College &amp; Hospital, Burdwan, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tapan Kumar","family":"Mandal","sequence":"additional","affiliation":[{"name":"Department of Urology, Nil Ratan Sircar Medical College, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,24]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Penn clinical manual of urology","author":"Hanno PM","year":"2007","unstructured":"Hanno PM, Malkowicz SB, Wein AJ. Penn clinical manual of urology. Philadelphia, PA: Saunders, 2007."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.10.016"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diff.2011.04.006"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2022.42.246.30685"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2022.842008"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000365694"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.18203\/2320-6012.ijrms20160301"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.5152\/eamr.2018.83435"},{"issue":"3","key":"e_1_3_2_10_2","first-page":"288","article-title":"Value of intravesical prostatic protrusion estimated by ultrasound in the diagnosis of bladder outlet obstruction and acute urinary retention in benign prostatic hyperplasia","volume":"17","author":"Elnaggar AA","year":"2019","unstructured":"Elnaggar AA, Soliman AA. Value of intravesical prostatic protrusion estimated by ultrasound in the diagnosis of bladder outlet obstruction and acute urinary retention in benign prostatic hyperplasia. Al-AzharAssiut Med J 2019; 17(3): 288\u2013294.","journal-title":"Al-AzharAssiut Med J"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3126\/jpahs.v8i3.30335"}],"container-title":["Urologia Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603251341397","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03915603251341397","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603251341397","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T06:24:17Z","timestamp":1774333457000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03915603251341397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,24]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/03915603251341397"],"URL":"https:\/\/doi.org\/10.1177\/03915603251341397","relation":{},"ISSN":["0391-5603","1724-6075"],"issn-type":[{"value":"0391-5603","type":"print"},{"value":"1724-6075","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,24]]}}}