%0 Journal Article
%T High Urine Retention: Experience in a Series of Patients with Renal Failure Patients
%A Cyrille Ze Ondo
%A Abdoulaye Ndiath
%A Amath Thiam
%A Alioune Sarr
%A Ndiaga Seck Ndour
%A Ousmane Sow
%A Babacar Sine
%A Babacar Diao
%A Alain Khassim Ndoye
%J Open Journal of Urology
%P 1-10
%@ 2160-5629
%D 2024
%I Scientific Research Publishing
%R 10.4236/oju.2024.141001
%X <strong>Purpose: </strong>High urinary retention (HUR) can negatively impact renal function. Our study aimed to present the epidemiological, diagnostic, and therapeutic aspects of HUR in a Senegalese academic hospital. <strong>Patients and Methods:</strong> We conducted a retrospective study of 70 patients with HUR associated with renal failure from January 2017 to December 2020. Parameters examined included: age, sex, coexisting conditions affecting renal function, clinical symptoms, diagnostic tests, causes of HUR, urinary diversion, and patient outcomes. <strong>Results:</strong> The average age was 66, with a majority of male patients (87%). Twenty-three patients had pre-existing medical conditions. Oligo-anuria was the most common reason for detecting HUR (70%). Half of the patients had an ECOG score ¡Ý 2. The mean creatinine level was 50.7 mg/l. Nineteen patients exhibited hydroelectrolytic disorders. Bacterial colonization was observed in 25 patients. Ultrasound and computed tomography were the most frequently performed imaging tests (100% and 62.8%, respectively). Sixty-seven patients had ureterohydronephrosis (UHN), with bilateral UHN in 88.6% of cases. Pelvic cancers (47.1%) were the primary cause of HUR, primarily bladder cancers (27.1%). Nephrostomy was the most common urinary drainage method (50%), particularly for obstructions due to pelvic cancer (88.6%). The majority of patients (52.8%) regained normal renal function after drainage. Nineteen deaths occurred among elderly patients with compromised general health. <strong>Conclusion: </strong>Urinary drainage significantly improved renal function for most patients. Pelvic cancer emerged as the leading cause of HUR. Nephrostomy was the predominant drainage method.
%K Kidney
%K Urinary Retention
%K Renal Failure
%K Urinary Diversions
%K Senegal
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=130550