Chronic Urinary Retention

Chronic Urinary Retention: Comparative Effectiveness and Harms of Treatments, a research review from AHRQ’s Effective Health Care Program, finds insufficient evidence to draw conclusions on the comparative benefits or harms of treatments for persistent partial retention of urine or chronic urinary retention (CUR) in adults.

There is low-strength evidence suggesting that transurethral resection of the prostate and microwave therapy achieved similar results in the rate at which men were catheter-free at six months post-treatment. In addition, no data was found to assess the impact of treating CUR independently of treating benign prostatic enlargement and other lower urinary tract symptoms. Consistent with a previous CUR review, low strength evidence suggests that sacral neuromodulation reduces the need for catheterization and post-void residual urine for CUR not attributable to obstructive causes.  Future research is necessary before information is useful in informing practice. Research should address conceptual issues in studying CUR such as defining standard clinical diagnostic criteria and strengthening the evidence base with adequately powered controlled trials, or studies of populations and interventions common in practice.

Select to access Chronic Urinary Retention: Comparative Effectiveness and Harms of Treatments.

Current as of September 2014
Internet Citation: Chronic Urinary Retention. September 2014. Agency for Healthcare Research and Quality, Rockville, MD.