Use of nomogram to predict acute urinary retention.

摘要: We agree with the authors, that male patients over 70 years of age undergoing lower limb arthroplasty under spinal anaesthesia are at high risk developing acute urinary retention (AUR). This is due to a combination benign prostatic hyperplasia, immobility, and postoperative analgesia. The use IPSS/AUA-SI score useful means assessing prostate symptoms there evidence indicate moderate-to-severe have higher AUR in community.1 However, using this alone not significant predictor AUR,2 so it surprising lacks accuracy series. Slawin et al.2 suggested nomogram parameters including IPSS/AUA-SI, PSA, size flow rate – simple noninvasive test, providing much more accurate prediction likelihood AUR. Studies currently underway assess value newer generation α-blockers preventing AUR. Indiscriminate catheterisations all old run risks urethral trauma subsequently stricture as well sepsis. Until results these studies available, may be predict outcome catheterise only high-risk group.