Acute urinary retention accompanied by bladder stones

Yıl 2019, Cilt: 41 Sayı: 1, 174 - 181, 28.03.2019

Engin Kölükçü Serhat Koyuncu

https://doi.org/10.7197/223.vi.511578

Öz

Objective: The aim of this study was to evaluate patients presented
with acute urinary retention and found to have bladder stones.

Method: The records of 27 adult male patients presented to the
emergency clinic with acute urinary retention between October 2011 and December
2017 were examined retrospectively. Patients' age, stone size, etiologic
factors and treatment modalities were analyzed.

Results: All patiens were male and the mean age was 60.41±15.71
(19-86) years. The main complaint of all patients was acute urinary retention.
In addition, one patient had a feeling of fullness in the rectum, three had
bilateral flank pain, five had high fever and four had renal failure. A total
of nine (33.3%) patients were found to have stones localized in anywhere in the
urinary tract along with bladder stones. All patients who had urogenital
pathology pose a risk for bladder stone formation. The most common pathology
was prostatic hyperplasia seen in 19 (70.4%) patients.

Conclusions: We
are of the opinion that it is very important to consider bladder stones among
the preliminary diagnoses in patients presenting with acute urinary retention.

Anahtar Kelimeler

acute urinary retantion, bladder, stone

Akut üriner retansiyon ile mesane taşı birlikteliği

Öz

Amaç: Çalışmamızda
akut üriner retansiyon ile başvuran ve mesane taşı tespit edilen hastaların
değerlendirilmesi amaçlanmıştır.

Yöntem: Ekim
2011 ve Aralık 2017 tarihileri arasında acil kliniğine akut üriner retansiyon
ile başvuran ve mesane taşı tespit edilen 27 erişkin erkek hastanın dosyaları
retrospektif olarak incelendi. Hastaların yaşı, taş boyutları, etiyolojik
faktörleri ve uygulanan tedavi modaliteleri analiz edildi.

Bulgular: Çalışmaya
alınan hastaların tamamı erkek olup yaş ortalaması 60,41±15,71 (19-86) yıl idi.
Tüm hastaların ana başvuru şikayeti akut idrar retansiyonu idi. Ek olarak
hastaların 1’inde rektal dolgunluk hissi, 3’ünde iki taraflı yan ağrısı, 5’inde
yüksek ateş ve 4’ünde böbrek yetmezliği tablosu izlendi. Toplam 9 (%33,3)
hastada mesane taşı ile beraber üriner sistemin herhangi bir lokalizasyonunda
taş tespit edildi. Tüm hastalarda mesane taşı oluşumuna neden olacak ürogenital patoloji
izlendi. En sık tespit edilen patoloji 19 (%70,4) hastada izlenen prostat
hiperplazisi idi.

Sonuç: Akut
üriner retansiyon ile başvuran hastalarda mesane taşlarının ön tanılar arasında
düşünülmesinin son derece önemli olduğu kanaatindeyiz.

 

Anahtar Kelimeler

Akut üriner retansiyon, mesane, taş

Kaynakça

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