PREDICTORS OF ACUTE URINARY RETENTION IN BENIGN PROSTATIC HYPERPLASIA

Introduction:Benign Prostatic Hyperplasia (BPH) exhibits a variable natural history,and Acute Urinary Retention (AUR) is a significant complication.The incidence of AUR per 1000 patient years is now better understood,ranging from 5 to 25, with a cumulative risk increasing with age. AUR profoundly impacts the quality of life, comparable to renal colic, necessitating pain, catheterization, and potential surgery. Analytical studies identify risk factors, guiding medical management. Prophylactic measures, such as 5-alpha reductase inhibitors and alpha-blockers, aim to prevent AUR, altering the historical surgical approach.Primary prevention is justifiable,particularly in high-risk patients.Materials And Methods: A prospective observational analytical study included men aged 49-85 with clinically diagnosed BPH attending urology OPD. Exclusion criteria covered specific conditions. Baseline parameters, symptoms, DRE findings, and ultrasound parameters were recorded. Statistical analyses were conducted using SPSS version 22.0. Results: Baseline characteristics revealed significant age and co-morbidity differences. IPSS grading illustrated AUR patients had more severe symptoms. DRE findings indicated distinctive prostate enlargement characteristics in the AUR group. Ultrasound parameters further highlighted significant differences, suggesting their role in characterizing anatomical variations in AUR.Conclusion:A comprehensive understanding of individual patient profiles is crucial for effective BPH management, considering age, co-morbidities, symptom severity, and anatomical characteristics, particularly in the context of AUR.