Author(s)

Cyrille Ze Ondo¹, Abdoulaye Ndiath^1*, Amath Thiam², Alioune Sarr¹, Ndiaga Seck Ndour¹, Ousmane Sow¹, Babacar Sine^1,2, Babacar Diao^1,2, Alain Khassim Ndoye¹

¹Urology Department, Aristide Le Dantec Hospital, Dakar, Senegal.
²Urology Department, Ouakam Military Hospital, Dakar, Senegal.

Purpose: 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. Patients and Methods: 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. Results: 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 ≥ 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. Conclusion: Urinary drainage significantly improved renal function for most patients. Pelvic cancer emerged as the leading cause of HUR. Nephrostomy was the predominant drainage method.

Kidney, Urinary Retention, Renal Failure, Urinary Diversions, Senegal

Ondo, C. , Ndiath, A. , Thiam, A. , Sarr, A. , Ndour, N. , Sow, O. , Sine, B. , Diao, B. and Ndoye, A. (2024) High Urine Retention: Experience in a Series of Patients with Renal Failure Patients. Open Journal of Urology, 14, 1-10. doi: 10.4236/oju.2024.141001.