Farelo-Trejos Oscar Luis, Paesano Nahuel Eduardo, Serna-Hurtado Juan José, García Mauro Fabián, Monzó-Gardiner Juan Ignacio
Servicio de Urología. Hospital de Trauma y Emergencias Dr. Federico Abete de Malvinas Argentinas. Buenos Aires. Argentina.
Arch Esp Urol. 2017 Nov;70(9):759-765.
To analyze prognostic variables that impact on the trial without catheter after tamsulosin in patients with acute urine retention.
Retrospective analysis of a prospective database of a cohort of successive patients with acute urinary retention due to benign prostatic hyperplasia attended at the urology emergency room during one year time period. We analyzed the clinical and radiological characteristics and the international prostatic symptom score questionnaire of a total 65 male patients.
The trial without catheter after tamsulosin showed positive results in 25 patients (38%) and failed in the remaining 40 (62%). In multivariate analysis, none of the analyzed variables resulted in an independent predictive factor for spontaneous micturition after the trial without catheter. However, the severe IPSS (p=0.085) presented an important statistical tendency for predicting failure of spontaneous micturition, as well as we found that the 84% of diabetic patients presented failure to the trial with catheter.
The only variable that impact negatively on the trial without catheter was the severe IPSS with an approximation to statistical significance. The presence of diabetes as a related factor is a hypothesis that should be investigated with a higher number of cases.
分析影响坦索罗辛治疗后急性尿潴留患者无导尿管试验的预后变量。
对泌尿外科急诊室在一年时间内连续收治的因良性前列腺增生导致急性尿潴留的患者队列的前瞻性数据库进行回顾性分析。我们分析了总共65例男性患者的临床和放射学特征以及国际前列腺症状评分问卷。
坦索罗辛治疗后无导尿管试验在25例患者（38%）中显示出阳性结果，其余40例（62%）失败。在多变量分析中，所分析的变量均未成为无导尿管试验后自主排尿的独立预测因素。然而，严重的国际前列腺症状评分（p = 0.085）在预测自主排尿失败方面呈现出重要的统计学趋势，并且我们发现84%的糖尿病患者无导尿管试验失败。
对无导尿管试验产生负面影响的唯一变量是严重的国际前列腺症状评分，接近统计学意义。糖尿病作为相关因素的存在是一个应通过更多病例进行研究的假设。
