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Effect of Climatic Parameters on Acute Urinary Retention Incidence.

 Kwang Suk LEE  ;  Kyo Chul KOO  ;  Seung Hwan LEE  ;  Kang Su CHO  ;  Chang-Hee HONG  ;  Byung Ha CHUNG 
 LUTS: Lower Urinary Tract Symptoms, Vol.10(3) : 297-302, 2018 
Journal Title
 LUTS: Lower Urinary Tract Symptoms 
Issue Date
benign prostatic hyperplasia ; lower urinary tract symptoms ; urinary retention
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.
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
구교철(Koo, Kyo Chul) ORCID logo https://orcid.org/0000-0001-7303-6256
이광석(Lee, Kwang Suk) ORCID logo https://orcid.org/0000-0002-7961-8393
이승환(Lee, Seung Hwan) ORCID logo https://orcid.org/0000-0001-7358-8544
정병하(Chung, Byung Ha) ORCID logo https://orcid.org/0000-0001-9817-3660
조강수(Cho, Kang Su) ORCID logo https://orcid.org/0000-0002-3500-8833
홍창희(Hong, Chang Hee) ORCID logo https://orcid.org/0000-0002-0946-7702
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