Sugimoto Koichi, Akiyama Takahiro, Shimizu Nobutaka, Matsumura Naoki, Hashimoto Mamoru, Minami Takafumi, Nose Kazuhiro, Nozawa Masahiro, Yoshimura Kazuhiro, Uemura Hirotsugu
Department of Urology, Kindai University Faculty of Medicine, Osaka-Sayama, Osaka, Japan.
Department of Urology, Sakai-Onshinkai Hospital, Sakai, Osaka, Japan.
Res Rep Urol. 2017 Aug 11;9:141-143. doi: 10.2147/RRU.S133952. eCollection 2017.
Acute urinary retention is the most common urological emergency. To resolve this emergency, urethral catheterization is performed. If the procedure fails and permanent transurethral catheterization is required, the patient's quality of life is significantly affected. Therefore, catheter-free treatment is the ideal goal of therapy for patients with acute urinary retention. Especially, for women, placement of a catheter poses a cosmetic problem. Therefore, the aim of this study was to treat female patients who had already received urapidil/distigmine bromide with acotiamide. Acotiamide was administered at a dose of 100 mg three times daily for 2 weeks, and the outcome of trial without catheter was evaluated. Only female patients were enrolled for this study. Treatment proved successful and all patients become catheter free.
急性尿潴留是最常见的泌尿外科急症。为解决这一急症,需进行尿道插管。若该操作失败且需要长期经尿道插管,患者的生活质量会受到显著影响。因此,无导管治疗是急性尿潴留患者治疗的理想目标。特别是对于女性患者,放置导尿管会带来美观问题。因此,本研究的目的是用阿考替胺治疗已接受乌拉地尔/溴化斯的明治疗的女性患者。阿考替胺的给药剂量为每日3次,每次100mg,持续2周,并评估无导管试验的结果。本研究仅纳入女性患者。治疗证明是成功的,所有患者均无需使用导尿管。