PEEPING INTO THE RETENTION WORLD: SOCIO-CULTURAL FACTORS LEADING TO ACUTE URINARY RETENTION IN AGING MEN DUE TO BENIGN PROSTATIC ENLARGEMENT

Abstract

Objective: To study the sociocultural factors responsible for acute urinary retention due to clinically benign enlarge prostate in elderly male.

Methods: It is a descriptive study conducted in at Institute of Kidney Disease, Hayatabad Peshawar from January 2019 till December 2019. 104 patients with acute urinary retention were selected by non-probability consecutive sampling.  We included all patients with spontaneous acute urinary retention presenting to Urology outpatient department of Institute of Kidney Diseases Peshawar. We excluded patients with bladder stone, chronic retention due to causes other than benign prostatic enlargement (BPE), urethral stricture. Structured proforma was used for data collection and statistical package for social sciences (SPSS) version 17 was used for analysis

Results: The mean age of the patients was 71.5± 5.7 years. 88 (84%) patients had no formal education. 88 (84 %) patients were having no knowledge of prostate gland. 76 (73.3%) respondents considered the urinary symptoms as aging process. 56 (53 %) patients admitted the financial constraints in seeking medical help. 86 (82%) patients denied to be neglected by family members and 94 (90%) patients admitted the social embarrassment with lower urinary symptoms. 76 (73 %) were having symptoms for 1 or more than 1 year before seeking medical attention. Only 36 (34%) patients were initially seen by doctors before referring to tertiary care facility.

Conclusion: Acute urinary retention due to clinically benign enlarge prostate is a social problem. Lack of health education, illiteracy and poor referral system are the leading sociocultural risk factors of acute urinary retention.