Effect of Climatic Parameters on Acute Urinary Retention Incidence

Kwang Suk Lee, Kyo Chul Koo, Seung Hwan Lee, Kang Su Cho, Chang Hee Hong, Byungha Chung

Research output: Contribution to journalArticle

Abstract

Objectives: We investigated the effect of daily climatic parameters on spontaneous acute urinary retention (sAUR) and evaluated the risk factors for refractory/recurrent AUR. Methods: A total of 4194 patients older than 40 years were diagnosed with AUR in the emergency department at Gangnam Severance Hospital, Seoul, from January 2007 to May 2016. To evaluate climatic parameters at sAUR onset, we included individuals living in the area around the hospital. We excluded patients with fever, who did not return to the hospital after the AUR episode or with AUR occurring within 2 weeks following admission for surgery or chemotherapy. Results: Among 818 patients living in the two districts around the hospital, winter and October had the highest seasonal and monthly rates of sAUR development, respectively, and sAUR incidence increased with age. Daily temperature range and mean wind speed were significant risk factors for sAUR development. Several daily climatic parameters had seasonal effects on sAUR incidence. Over a mean follow-up of 0.98 years, 122 patients (14.9%) developed refractory/recurrent AUR. Transitional zone index (TZI; HR = 1.03; P = 0.002) and prostate-specific antigen (PSA) at the time of sAUR (HR = 1.01; P = 0.030) were significant predictors of refractory/recurrent AUR. Benign prostate hyperplasia medication and transurethral prostatectomy after sAUR were not risk factors for refractory/recurrent AUR. Conclusions: Cold temperature provoked sAUR in patients with higher age and International Prostate Symptom Score. Patients with higher TZI and PSA level at the time of sAUR had a greater risk of developing refractory/recurrent AUR.

Original languageEnglish
Pages (from-to)297-302
Number of pages6
JournalLUTS: Lower Urinary Tract Symptoms
Volume10
Issue number3
DOIs
Publication statusPublished - 2018 Sep 1

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Urinary Retention
Incidence
Prostate-Specific Antigen
Prostate
Transurethral Resection of Prostate
District Hospitals
Hyperplasia
Hospital Emergency Service
Fever
Drug Therapy
Temperature

All Science Journal Classification (ASJC) codes

  • Neurology
  • Urology

Cite this

Lee, Kwang Suk ; Koo, Kyo Chul ; Lee, Seung Hwan ; Cho, Kang Su ; Hong, Chang Hee ; Chung, Byungha. / Effect of Climatic Parameters on Acute Urinary Retention Incidence. In: LUTS: Lower Urinary Tract Symptoms. 2018 ; Vol. 10, No. 3. pp. 297-302.
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Effect of Climatic Parameters on Acute Urinary Retention Incidence. / Lee, Kwang Suk; Koo, Kyo Chul; Lee, Seung Hwan; Cho, Kang Su; Hong, Chang Hee; Chung, Byungha.

In: LUTS: Lower Urinary Tract Symptoms, Vol. 10, No. 3, 01.09.2018, p. 297-302.

Research output: Contribution to journalArticle

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AU - Chung, Byungha

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