Nazir M I, Amin Y, Abbas F, Ather H.
Determination of the effect of Alfuzosin in patients with acute urinary retention secondary to benign prostatic enlargement.
Biomedica Jan ;30(4):276-9.

Background: Lower urinary tract symptoms are the most common reason for elderly males presenting to the hospital. Acute urinary retention previously considered as an absolute indication for surgery is now being challenged by alpha blockers. Methodology: This descriptive study was done at Aga Khan Hospital and Shalamar Hospital over a three year period. Using convenience sampling 270 patients were registered and out of them 172 patients were selected on basis of inclusion and exclusion criteria. The selected patients were catheterized and were put on Alpha Blockers. Results: Showed that 102 (59.5%) were able to void after catheter was removed, while 70 (40.5%) had to be catheterized again and planned for surgery. Conclusion: Our study has shown that acute urinary retention is no longer an indication for immediate surgery and a trial without catheter with alpha blockers should be attempted.

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