Randomized controlled trial on the efficacy of bladder training before removing indwelling urinary catheter in patients with acute urinary retention.

Dr. Brijesh Kumar Agarwal; Dr. Namita Agarwal

Volume : IV, Issue : VII, July - 2015

Randomized controlled trial on the efficacy of bladder training before removing indwelling urinary catheter in patients with acute urinary retention.

Dr. Brijesh Kumar Agarwal, Dr. Namita Agarwal

Abstract :

The aim of this study was to find out the efficacy of bladder training before removing the indwelling urinary catheter in patients with acute urinary retention(AUR) due to benign prostatic hyperplasia(BPH). In total , 210 patients were included in this prospective randomized control study. All the patients had their first episode of spontaneous acute urinary retention. They were randomly given either alfa blockers with bladder training or only alfa blockers with no bladder training for seven days and a trial without catheter (TWOC) was performed. Data on patients baseline demographics, TWOC success rate and complications were collected and statistically analysed. The two groups of spontaneous AUR patients with BPH were given alfa blockers combined with bladder training before catheter removal( n=105) or alfa blockers alone(n=105) for seven days. All patients underwent TWOC with an overall success rate of 60.95%. TWOC was success full in 62.1% of cases in treatment group and 59.8% was in control group. There was no statistically significant difference in TWOC success rate between two groups(p value> .05). This study has proved that there is no advantage of bladder training with alfa blocker in patient of AUR due to BPH on success rate of TWOC as compared to patients in whom no bladder training was given.