Paediatric Acute Urinary Retention in Central Queensland

The aetiology of paediatric acute urinary retention (PAUR) is poorly documented across English medical literature and none from Australasia. This study aimed to document incidence, aetiology and associated time to diagnoses and treatment of PAUR in regional Australia. This was a retrospective study...

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Published in:Journal of paediatrics and child health 2025-01
Main Authors: Nasr, Samah, Lim, Jian Yang, Nugapitiya, Saseema Sammani, Yu, Dong, Khan, Arifuzzaman, Pam, Sunday
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creator Nasr, Samah
Lim, Jian Yang
Nugapitiya, Saseema Sammani
Yu, Dong
Khan, Arifuzzaman
Pam, Sunday
description The aetiology of paediatric acute urinary retention (PAUR) is poorly documented across English medical literature and none from Australasia. This study aimed to document incidence, aetiology and associated time to diagnoses and treatment of PAUR in regional Australia. This was a retrospective study of children aged 0-17 years at presentation to two regional hospitals from 01.01.2008-31.12.2018. Data were extracted from patient files following a search for documented cases of acute urinary retention. There were 56 presentations from 53 children with sex ratio (M:F) of 1.4:1. The median age at presentation was 5.9 (IQR 2.8, 13.3) years, with bimodal peaks at 2-4 years and 12-16 years. Using Poisson regression model, the population incidence increased over the period (p 
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This study aimed to document incidence, aetiology and associated time to diagnoses and treatment of PAUR in regional Australia. This was a retrospective study of children aged 0-17 years at presentation to two regional hospitals from 01.01.2008-31.12.2018. Data were extracted from patient files following a search for documented cases of acute urinary retention. There were 56 presentations from 53 children with sex ratio (M:F) of 1.4:1. The median age at presentation was 5.9 (IQR 2.8, 13.3) years, with bimodal peaks at 2-4 years and 12-16 years. Using Poisson regression model, the population incidence increased over the period (p &lt; 0.05). The commonest aetiologies were post-operative (13; 23%), medications excluding anaesthesia (7; 13%), urinary tract infection (UTI) (6; 11%) and phimosis/balanitis (6; 11%), faecal impaction (6; 11%), neoplasia (5; 9%) and uncertain (10; 18%). Time to diagnosis had a median of 3 (IQR 0,14.5) h and a mean of 9.2 (±13.7) h. 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title Paediatric Acute Urinary Retention in Central Queensland
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