The Assessment of Urinary Retention in Adult Male Patients at Kampala International University Teaching Hospital in Bushenyi District Western Uganda

ABSTRACT

A comprehensive assessment of urinary retention in adult male patients who attended KIU-TH was conducted. To determine the number of adult male patients diagnosed with UR, to determine the risk factors of urinary retention among adult males who were diagnosed with urinary retention, to establish the management of urinary retention among adult males diagnosed with urinary retention at KIU-TH between august 2015 to august 2017. A retrospective and a descriptive study design was used, involving quantitative methods of data collection. Purposeful sampling technique was employed, where all adult males who attended KIU-TH between august 2015 and august 2017 were recruited in the study. From results out of 136 samples of adult male patients with UR, 63 (46.3%) had no UR and 73 (53.7%) had UR. Out of the 73 (53.7%) adult male patients, 52 (71.2%) with presented with AUR then 21 (28.8 %) of the people had CUR. Furthermore, of 73 (53.7%) of the adult male patients with UR, 19 (26.1%) was in 2015 from August to December, and 32 (43.8%) adult male patients were in 2016 January to December, and 22 (30.1%) adult male patients in 2017 between January to August. This was found more in elderly men between the age 60 to 89 years by 53 (72.6%) followed by, 40 to 60 years by 14 (19.2%), then 23 to 40 years by 6 (8.2%) patients. The risk factors UR were BPH, prostate cancer, urinary stricture, and others that included bladder tumors, and urethral traumas where BPH was the leading cause of UR with 45 (61.6%) patients , followed by 10 (13.7%) followed by urethral stricture and 5(6.8%) was due to other causes such as bladder tumors urethral trauma and paraphimosis. 26 (35.6%) people had UR were managed by urethral catheterization, 17 (23.3%) had UR managed by supra pubic catheterization, 23 (31.5%) had UR managed by surgery and 7 (9.6%) were managed by other measures like medication circumcision. In conclusion Results portrayed that although the management measures were available such urethral catheterization and surgery which were the most practice at KIU-TH, there remained high prevalence of UR which was more in the elderly adults commonest cause was BPH . All males above 60 years need to be assed and examined to rule out the causes of urinary retention for early management. It is also necessary to necessary that all males above forty years to be encouraged for BPH and early treatment of urinary tract infections to prevent outlet obstruction ant formation strictures respectively