Acute urinary retention in the elderly: an unusual presentation of XXXX with a high perforation risk.

@entity1 @entity697 @entity698 @entity2466 @entity1067 @entity532 @entity344 @entity811
BACKGROUND: Urological manifestations are rare in @entity697 . Although acute urinary retention (AUR) is more commonly found in elderly @entity1 , any previous cases reported have been under the age of 30. OBJECTIVE: The aim of this study was to investigate the incidence, clinical presentation, and results of @entity698 @entity1 presenting with AUR. AUR is defined as the sudden inability to urinate with obstructive symptoms. METHODS: A retrospective case note review of 480 adult @entity1 (>/=18 years) with @entity698 , diagnosed at the Veterans General Hospital-Taipei over a 3-year period, was carried out. RESULTS: Six @entity1 (1.3% of the adults or 3.9% of the elderly @entity1 ), 5 @entity1 and 1 @entity1 averaging 71.5 years of age, presented with AUR. Associated existing diseases were @entity1067 in 2 of the males and surgical repair for uterine prolapse in the only female. The mean duration from @entity344 to AUR was 1.7 days. The quantity of residual urine ranged from 180 to 450 ml. All @entity1 had persistent right lower quadrant tenderness and @entity811 . Five (83.3%) were found to have a @entity2466 at operation, and their average hospital stay was 14.7 (8-29) days. CONCLUSIONS: AUR may occur as an initial presentation in acute @entity532 in the elderly. It has been reported that the prolonged hospital stay might be related to the delayed diagnosis and resulting complications arising in these @entity1 . Primary care physicians need to be reminded that this common genitourinary complaint may arise in @entity1 with @entity697 . When confronted with a geriatric @entity1 presenting with AUR, one should entertain an alternative diagnosis and a reexamination of the @entity1 is mandatory.
