Klarskov P, Andersen J T, Asmussen C F, Brenøe J, Jensen S K, Jensen I L, Lund P, Schultz A, Vedel T
Scand J Urol Nephrol. 1987;21(1):23-8. doi: 10.3109/00365598709180285.
Over a 9-month period 228 men were admitted for acute urinary retention to six different casualty wards in the Copenhagen area. The patients were followed in the corresponding urological departments for one year. Twenty-seven variables were registered for each patient. The cumulative rate of recurrent retention was 56% after one week and 68% after one year. Factors predictive of preserved voiding ability were a retained volume less than 500 ml, a known event provocative of acute retention, and a maximum flow rate of more than 5 ml/s after the retention. The maximum flow rate measured within the first week after the retention was reliable within the follow-up period if the voided volume was 150 ml or more. The etiology of the acute retention was infravesical obstruction in 90% of the patients, and 85% required subsequent surgical treatment. Predictive of surgical treatment for infravesical obstruction were recurrent urinary retention within one week, a volume of retention of more than 500 ml, the absence of a provocative situation prior to the retention episode and nocturia twice or more.
在9个月的时间里，228名男性因急性尿潴留被收治到哥本哈根地区的六个不同急诊病房。这些患者在相应的泌尿外科接受了一年的随访。为每名患者记录了27项变量。一周后复发性尿潴留的累积发生率为56%，一年后为68%。预测排尿能力得以保留的因素包括潴留量小于500毫升、已知的急性潴留诱发事件以及潴留后最大尿流率超过5毫升/秒。如果排尿量为150毫升或更多，在潴留后第一周内测得的最大尿流率在随访期内是可靠的。90%的患者急性潴留的病因是膀胱下梗阻，85%的患者随后需要手术治疗。预测膀胱下梗阻手术治疗的因素包括一周内复发性尿潴留、潴留量超过500毫升、潴留发作前无诱发情况以及夜尿两次或更多。
