Urgent hospital aid to patients with acute urinary retention in the city of Moscow (state of the problems in 2015)
For the first time in hospitals of the Moscow Department of Health that provide medical assistance to the adult population we analyzed medical help to patients with acute urinary retention (AUR). The study was aimed at optimization of medical assistance to patients with acute urinary retention. For this purpose we developed and sent more than 1000 questionnaires to all urological departments of Moscow hospitals. Statistical processing comprised 536 questionnaires received from 21 urological departments. The following parameters were studied - the patients' age, presence of concomitant diseases, cause of acute urinary retention, treatment of AUR before it developed and at hospital. We performed a full-scale statistical analysis that permitted to come to certain conclusions reflecting the state of medical help to patients with AUR. Analysis of data obtained in the course of the study showed that most patients with AUR who were transported by EMS squads to Moscow urological hospitals are men older than 65 years, suffering in most cases from prostatic hyperplasia. In this cohort of patients, the average PSA level was 6.5 ng/ml. Prostate cancer was diagnosed in 24 (24.2%) patients. More than half of the patients did not receive any treatment before the development of AUR. This permitted to introduce changes into standards of medical assistance to patients with acute urinary retention.