Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center

Abdoul-Karim Ouattara; Brahima Kirakoya; Hassami Sawadogo; Neimatou Lingani; Yannick Jean Rodrigue Pingdwende Traore; Fatao Ouedraogo; Clotaire Alexis Marie Kiemdiba Donega Yameogo; Abdoul-Karim Pare; Adama Ouattara; Fasnewinde Aristide Kabore

doi:doi:10.11648/j.ijcu.20261001.15

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Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center

Abdoul-Karim Ouattara^*

, Brahima Kirakoya

, Hassami Sawadogo

, Neimatou Lingani, Yannick Jean Rodrigue Pingdwende Traore

, Fatao Ouedraogo

, Clotaire Alexis Marie Kiemdiba Donega Yameogo

, Abdoul-Karim Pare

, Adama Ouattara

, Fasnewinde Aristide Kabore

Published in International Journal of Clinical Urology (Volume 10, Issue 1)

Received: 1 February 2026 Accepted: 11 February 2026 Published: 25 February 2026

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Abstract

Introduction: Lower urinary retention is one of the most common urological emergencies in the hospital setting, primarily affecting elderly men and most often related to prostatic pathologies. This study aimed to describe the therapeutic modalities and outcomes of lower urinary retention managed at the Yalgado Ouedraogo University Hospital Center (CHU-YO). Methodology: This was a prospective, descriptive, longitudinal study conducted from August 1, 2023, to January 31, 2024, in the urological emergency department of CHU-YO. All patients admitted for urinary retention were included, except those already catheterized or non-consenting. Epidemiological, clinical, paraclinical, and therapeutic data were collected via Kobo Toolbox and analyzed with SPSS 20. Results: Out of 333 urological emergencies, 198 cases of urinary retention were identified (59.46%). After exclusions, 181 patients were analyzed. The mean age was 65.8 years, with a marked male predominance (92.8%). Retention was complete in 87.3% of cases and of sudden onset in 91.2%. Prostatic pathologies were the main etiology in men, followed by urethral strictures. Obstructive renal failure was present in 34.8% of patients prior to drainage. Transurethral bladder catheterization was the primary drainage method, with a failure rate of 10.9%. Post-drainage complications were dominated by decompression hematuria (5.0%) and post-obstructive diuresis syndrome (4.4%). The mean hospital stay was 3.7 days. Conclusion: Lower urinary retention remains a frequent emergency at CHU-YO, primarily affecting elderly men and dominated by prostatic pathologies. Late diagnosis exposes patients to a high risk of renal complications, underscoring the need for early screening of voiding disorders and strengthening of management capacities at the peripheral level.

Published in	International Journal of Clinical Urology (Volume 10, Issue 1)
DOI	10.11648/j.ijcu.20261001.15
Page(s)	19-27
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2026. Published by Science Publishing Group

Keywords

Urinary Retention, Urological Emergencies, Prostate, Bladder Drainage

1. Introduction

Urinary retention (UR) is the total or partial inability to voluntarily void bladder urine despite bladder fullness

[1]

. Acute urinary retention (AUR) corresponds to a sudden and total inability to pass urine despite a full bladder

[2]

. The definition of chronic urinary retention is not consensual. The American Urological Association (AUA) defines it as a progressive increase in post-void residual volume reaching 300 ml on two examinations six months apart

[3]

Urinary retention is by far the most common urological emergency

[4-7]

. Elderly men are more affected, with risk increasing from the age of fifty due to prostatic pathologies. Indeed, prostatic tumors, whether benign or malignant, represent the main cause of urinary retention, with frequencies ranging from 50% to over 70% according to African series

[5, 8, 9]

. Although rare in women, urinary retention most often occurs immediately following childbirth, post-operatively, or in a neurological context

[1, 10]

Bladder drainage modalities include transurethral bladder catheterization, suprapubic catheterization, or cystostomy

[2, 5, 7, 11]

. The choice of drainage route depends on the clinical context and suspected etiology. Complications of bladder urinary retention prior to drainage are dominated by acute obstructive renal failure, and more rarely bladder rupture

[2]

. Possible post-drainage complications include post-obstructive diuresis syndrome, decompression hematuria, and infections

[6, 9, 12]

This study aimed to analyze the therapeutic modalities and outcomes of lower urinary retention managed at CHU-YO from August 1, 2023, to January 31, 2024.

2. Methodology

This was a prospective, descriptive, longitudinal study conducted over a six-month period in the urological emergency department of CHU-YO. It included all patients admitted for urinary retention between August 1, 2023, and January 31, 2024. Patients already with a urinary catheter at admission and patients not consenting to participate in the study were excluded.

The studied variables concerned epidemiological, clinical, paraclinical, and therapeutic data. After emergency management, an interview and physical examination were conducted to complete the questionnaire after obtaining the patient's informed consent. Patients were then reviewed early during hospitalization and at the first follow-up consultation.

Data collected using Kobo Toolbox were exported to Excel format and then analyzed using SPSS version 20 software. Quantitative variables were expressed as mean ± standard deviation, and qualitative variables as frequency and percentage.

The anonymity of data collection forms and the confidentiality of information were respected. Data collection authorization was obtained from the CHU-YO administration.

3. Results

During the study period, 198 cases of urinary retention were identified among the 333 patients admitted for a urological emergency, corresponding to a frequency of 59.46%. Among these patients, 13 left the hospital against medical advice after bladder drainage and 4 refused to participate in the study. In total, 181 patients were included in the analysis. The mean age of patients was 65.8 years with extremes of 20 and 99 years. Men represented 92.82% with a male-to-female sex ratio of 12.92. Table 1 presents the sociodemographic characteristics of the patients.

Table 1. Distribution of patients according to sociodemographic data.

Sociodemographic characteristics	Frequency (n=181)	Percentage (%)
Age
< 25	6	3.31
[25-50]	14	7.73
[50-75]	82	45.54
≥ 75	79	43.42
Gender
Male	168	92.82
Female	13	7.18
Origin
Urban area	118	65.19
Rural area	63	34.81
Occupation
Farmer	88	48.62
Salaried employee	36	19.89
Merchant	20	11.05
Housewife	11	6.08
Retired	9	4.97
Other *	17	9.39
Literacy
Non-literate	121	66.85
Literate	60	33.15
Marital status
Married	132	75.00
Widowed	34	19.32
Single	10	5.68

*Livestock farmers, workers, pupils/students

3.1. Clinical Data

The majority of patients were referred by lower-level healthcare facilities (53.04%), and 43.09% were admitted directly. Complete retention was the most frequent reason for admission (87.3%), and 91.16% of patients reported a sudden onset of urinary retention. A history of urinary schistosomiasis in childhood was found in 22.65% of cases, and 19.30% of patients had been catheterized in the past. A history of repeated urethritis was found in 22 patients (12.15%). The distribution of patients according to anamnesis data is presented in Table 2.

Table 2. Distribution of patients according to anamnestic data.

Anamnestic Data	Frequency	Percentage (%)
Mode of admission
Referral	96	53.04
Direct admission	78	43.09
Transfer	7	3.87
Reason for admission
Complete retention	158	87.30
Incomplete retention	23	12.70
Circumstances of onset
Sudden	165	91.16
Progressive	7	3.87
Trauma	4	2.21
Post-anesthetic	3	1.66
Travel	1	0.55
Hematuria	1	0.55
Medical History
Hypertension	68	37.57
Diabetes	13	7.18
Stroke	8	4.42
Neuroleptic use	5	2.76
Urological History
Urinary schistosomiasis	41	22.65
Urinary catheterization	36	19.89
Repeated urethritis	22	12.15
Prostate surgery	7	3.87
Urethroplasty	3	1.65
Urinary lithiasis	2	1.10

The functional symptoms preceding urinary retention were essentially lower urinary tract symptoms. The duration of these symptoms averaged 15.39 months with extremes of 1 and 72 months. The majority of patients had a preserved general condition (88.4%), and a palpable bladder globe was found in 91.5% of cases. Digital rectal examination suggested a prostatic tumor in 82.87% of men. Tables 3 and 4 show the distribution of patients according to functional symptoms and physical signs on clinical examination, respectively.

Table 3. Distribution of patients according to functional symptoms preceding urinary retention.

Functional Symptoms	Frequency (n=181)	Percentage (%)
Filling Phase
Nocturia	147	81.22
Urgency	144	79.56
Frequency	142	78.45
Voiding Phase
Dysuria	145	80.11
Burning on micturition	45	24.86
Post-voiding Phase
Sensation of incomplete voiding	121	66.85
Double voiding	13	7.18

Physical Signs	Frequency	Percentage (%)
General condition according to WHO
Preserved (Stage 1, Stage 2)	160	88.40
Impaired (Stage 3, Stage 4)	21	11.60
Hypogastrium
Bladder globe	164	91.71
Mass	3	1.66
Digital Rectal Examination of Prostate (n = 168)
Increased volume	150	82.87
Prostate suggestive of benign origin	118	78.6
Prostate suggestive of malignancy	32	22.11
Flat prostatic fossa	6	3.31
Presence of a gynecological mass, (n= 13)
	3	1.65
External Genitalia
Normal urethral meatus	168	92.88
Periurethral induration	22	12.15

3.2. Blood Tests

Emergency biological tests included complete blood count, blood glucose, urea, serum creatinine, and blood ionogram. Table 5 presents the distribution of patients according to the results of emergency blood tests.

Table 5. Distribution of patients according to the results of emergency blood tests.

Blood Tests	Frequency	Percentage (%)
Complete Blood Count
Normal hemoglobin level	80	61.54
Moderate anemia [7-12 g/dl]	40	30.77
Severe anemia ≤ 6 g/dl	10	7.69
Normal leukocyte count	90	69.23
Hyperleukocytosis	34	26.15
Leukopenia	6	4.62
Serum Creatinine
Normal	115	63.54
Elevated	66	36.46
Uremia
Normal	134	74.03
Elevated	47	25.97
Blood Glucose
Normal	142	78.45
Elevated	33	18.23
Low	6	3.32
Elevated	3	1.66

3.3. Imaging and Endoscopic Examinations

Urinary tract ultrasound was performed in 151 patients. Table 6 reports the results.

Table 6. Distribution of patients according to the results of urinary tract ultrasound.

Ultrasound Findings	Frequency	Percentage (%)
Kidneys and Upper Excretory Tract
Ureterohydronephrosis	23	15.23
Renal impairment	9	5.96
Prostate
Normal	55	36.42
Homogeneous prostate hypertrophy	59	39.07
Heterogeneous prostate hypertrophy	31	20.53
Bladder
Intravesical tissue mass	6	3.97
Thick-walled bladder	6	3.97
Bladder lithiasis	5	3.31
Post-void Residual (ml)
< 100	12	7.95
[100-300]	16	10.60
≥300	2	1.32

Retrograde micturating urethrocystography (RMUC) was performed in 12 patients. Figure 1 illustrates the RMUC data.

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Figure 1. Distribution of patients according to the results of retrograde micturating urethrocystography.

Diagnostic urethrocystoscopy was performed in 9 patients. Figure 2 illustrates the urethrocystoscopy data.

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Figure 2. Distribution of patients according to the results of urethrocystoscopy.

3.4. Emergency Management

Figure 3 illustrates the distribution of patients according to the type of bladder drainage.

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Figure 3. Distribution of patients according to the type of bladder drainage.

During transurethral catheterization, we recorded 19 cases of catheterization failure (10.9%); in 9 cases (5.2%) a Freudenberg stylet was used.

3.5. Etiological Diagnosis

The distribution of male patients according to the etiological diagnosis is illustrated in Figure 5.

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Figure 4. Distribution of male patients according to the etiological diagnosis.

The distribution of patients according to the established etiological diagnosis in women is illustrated in Figure 6.

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Figure 5. Distribution of patients according to the established etiological diagnosis in women.

3.6. Complications Related to Urinary Retention

Prior to bladder drainage, renal failure was noted in 63 patients (34.81%). Immediate complications after drainage were decompression hematuria in 9 patients (4.97%) and post-obstructive diuresis syndrome in 8 patients (4.42%). Ninety-eight patients were transferred to the urology department for hospitalization, and the mean hospital stay was 3.73 days with extremes of 1 and 12 days.

4. Discussion

Urinary retention represented 59.46% of urological emergencies recorded at CHU-YO during the study period. This high proportion confirms that urinary retention is the main urological emergency in referral hospitals in sub-Saharan Africa, as reported in Senegal, Togo, and Chad, where frequencies range between 45 and 65% of urological emergencies

[4-6, 9]

. The low literacy level, lack of financial means, and primary recourse to traditional treatment could contribute to delayed consultation, making urinary retention the circumstance of discovery of prostatic pathology.

The high mean age (65.8 ± 14.2 years) and clear male predominance (92.8%, M/F sex ratio = 12.9) are consistent with African series, where men over 60 constitute the most exposed population

[5, 6, 9]

. This high prevalence reflects both the progressive aging of the male population and especially the contributory role of prostatic pathology in the etiologies of urinary retention.

Farmers represented nearly half of the cohort (48.6%), and 66.9% of patients were not literate, suggesting possible delayed consultation and lack of awareness of lower urinary tract symptoms.

Clinically, the predominance of complete retention of sudden onset aligns with the observations of Botcho et al. in Lome

[9]

. Digital rectal examination primarily suggested prostatic pathology, confirming that benign hypertrophy and prostate cancer constitute the main etiologies of lower urinary retention in men over 50

[6, 8]

Biologically, elevated serum creatinine was observed in 34.81% of patients, reflecting obstructive renal failure related to prolonged retention. This proportion is comparable to those reported in African series, ranging between 25 and 40%

[6, 9, 12]

. This underscores the potential severity of urinary retention when not managed early.

Transurethral bladder catheterization remained the most used drainage method, consistent with recommendations

[6, 11, 13]

. However, the failure rate of nearly 11% and the frequency of urethral bleeding underscore the need to strengthen staff training and ensure access to safe alternatives such as suprapubic catheterization, as suggested by Horgan et al

[11]

Immediate post-drainage complications were dominated by decompression hematuria and post-obstructive diuresis syndrome, with frequencies comparable to those reported in the literature

[6, 9]

. Progressive bladder emptying followed by concomitant vascular filling helps reduce the frequency of complications after bladder drainage. Strengthening the capacity of healthcare personnel in urological emergency reception services could reduce the incidence of these avoidable complications.

The relatively short mean hospital stay (3.73 days) reflects the effectiveness of bladder drainage and initial management, but also the need for rapid referral for definitive etiological management.

5. Conclusion

Lower urinary retention remains the primary urological emergency at CHU-Yalgado Ouedraogo, occurring mainly in elderly men and being largely related to prostatic pathologies. Delayed consultation contributes to the high frequency of complications, particularly obstructive renal failure. Emergency bladder drainage is the cornerstone of initial management. Particular attention should be paid to strengthening the early detection of prostatic conditions through awareness campaigns, as well as improving access to healthcare for the elderly.

Abbreviations

AUA	American Urological Association
AUR	Acute Urinary Retention
BPH	Benign Prostatic Hyperplasia
CHU-YO	Yalgado Ouedraogo University Hospital Center
M/F	Male/Female
PVR	Post-Void Residual
RMUC	Retrograde Micturating Urethrocystography
UR	Urinary Retention
WHO	World Health Organization

Author Contributions

Abdoul-Karim Ouattara: Conceptualization, Investigation, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing

Brahima Kirakoya: Conceptualization, Investigation, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing

Hassami Sawadogo: Conceptualization, Investigation, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing

Neimatou Lingani: Writing – original draft, Writing – review & editing

Yannick Jean Rodrigue Pingdwende Traore: Writing – original draft, Writing – review & editing

Fatao Ouedraogo: Writing – original draft, Writing – review & editing

Clotaire Alexis Marie Kiemdiba Donega Yameogo: Writing – original draft, Writing – review & editing

Abdoul–Karim Pare: Writing – original draft, Writing – review & editing

Adama Ouattara: Writing – original draft, Writing – review & editing

Fasnewinde Aristide Kabore: Conceptualization, Investigation, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Mevcha A, Drake MJ. Etiology and management of urinary retention in women. Indian Journal of Urology. June 2010; 26(2): 230. https://doi.org/10.4103/0970-1591.65396
[2]	Descazeaud A, Robert G, de La Taille A. Management of lower urinary tract obstruction related to BPH in patients with particular conditions and/or complications. Progrès en Urologie. Nov 1 2018; 28(15): 868-74. https://doi.org/10.1016/j.purol.2018.08.006
[3]	Stoffel JT, Peterson AC, Sandhu JS, Suskind AM, Wei JT, Lightner DJ. AUA White Paper on Nonneurogenic Chronic Urinary Retention: Consensus Definition, Treatment Algorithm, and Outcome End Points. The Journal of Urology. July 1 2017; 198(1): 153-60. https://doi.org/10.1016/j.juro.2017.01.075
[4]	Diallo TO, Diabate I, Barry M, Bah OR. The profile of urological emergencies in a regional hospital in Senegal: a 20-month retrospective study. Pan African Medical Journal. 2022; 42(1). https://doi.org/10.11604/pamj.2022.42.302.34654
[5]	Vadandi V, Mahamat A, Minguemadji A, Temga OM, Vounouzia B, Abdelmamoud C, et al. Management of Urine Retention in the Emergency Department of the Abeche University Teaching Hospital. Health sciences and disease. Nov 24 2023; 24(12). https://doi.org/10.5281/hsd.v25i5.5632
[6]	Nonoa B, Sikpa KH, Sade SR, Agbedey MS, Botcho G, Padja E, et al. Acute urinary retention in adults at the teaching hospital of Kara: initial management and etiological diagnosis: Acute urinary retention in adults at the teaching hospital of Kara: initial management and etiological diagnosis. Journal of Scientific Research of the University of Lome Dec 20 2023; 25(3): 135-41. https://doi.org/10.4314/jrsul.v25i3
[7]	Gas J. Management of chronic urinary retention in 2019. Progrès en Urologie - FMC. Dec 1 2019; 29(4): F91-4. https://doi.org/10.1016/j.fpurol.2019.07.003
[8]	Diabaté I, Ondo CZ, Sow I, Ba A, MBoup C. Urological emergencies at the Louga hospital center, Senegal: epidemiological aspects and evaluation of management. African journal of urology. Sept 1 2015; 21(3): 181-6. https://doi.org/10.5281/hsd.v24i10.4663
[9]	Botcho G, Tengué K, Kpatcha TM, Sewa EV, Leloua E, Sikpa HK, et al. Management of acute urinary retention at the CHU Sylvanus Olympio in Lome. Journal of Scientific Research of the University of Lome. Nov 22 2016; 18(3): 181-8.
[10]	Bouhours AC, Bigot P, Orsat M, Hoarau N, Descamps P, Fournié A, et al. Postpartum bladder retention. Progrès en urologie. Jan 1 2011; 21(1): 11-7. https://doi.org/10.1016/j.purol.2010.08.001
[11]	Horgan AF, Prasad B, Waldron DJ, O'sullivan DC. Acute Urinary Retention. Comparison of Suprapubic and Urethral Catheterisation. British Journal of Urology. 1992; 70(2): 149-51. https://doi.org/10.1111/j.1464-410x.1992.tb15693.x
[12]	Tengue K, Kpatcha TM, Sewa E, Adabra K, Amavi AK, Sikpa K, et al. Management of urological emergencies in Togo. Uro-Andro. 2017 Mar 2; 1(7): 331-4.
[13]	Pinar U, Gas J, Sarrazin C, Anract J, Chevrot A, Fassi-Fehri H, et al. Management of acute urinary retention in men in the context of benign prostatic hyperplasia: literature review and good practice recommendations from the Male Voiding Disorders Committee (CTMH). Progrès en Urologie - FMC. Nov 1 2025; 35(7): 288-99. https://doi.org/10.1016/j.fjurol.2025.102953

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Ouattara, A., Kirakoya, B., Sawadogo, H., Lingani, N., Traore, Y. J. R. P., et al. (2026). Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center. International Journal of Clinical Urology, 10(1), 19-27. https://doi.org/10.11648/j.ijcu.20261001.15

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ACS Style

Ouattara, A.; Kirakoya, B.; Sawadogo, H.; Lingani, N.; Traore, Y. J. R. P., et al. Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center. Int. J. Clin. Urol. 2026, 10(1), 19-27. doi: 10.11648/j.ijcu.20261001.15

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AMA Style

Ouattara A, Kirakoya B, Sawadogo H, Lingani N, Traore YJRP, et al. Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center. Int J Clin Urol. 2026;10(1):19-27. doi: 10.11648/j.ijcu.20261001.15

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@article{10.11648/j.ijcu.20261001.15,
  author = {Abdoul-Karim Ouattara and Brahima Kirakoya and Hassami Sawadogo and Neimatou Lingani and Yannick Jean Rodrigue Pingdwende Traore and Fatao Ouedraogo and Clotaire Alexis Marie Kiemdiba Donega Yameogo and Abdoul-Karim Pare and Adama Ouattara and Fasnewinde Aristide Kabore},
  title = {Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center},
  journal = {International Journal of Clinical Urology},
  volume = {10},
  number = {1},
  pages = {19-27},
  doi = {10.11648/j.ijcu.20261001.15},
  url = {https://doi.org/10.11648/j.ijcu.20261001.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20261001.15},
  abstract = {Introduction: Lower urinary retention is one of the most common urological emergencies in the hospital setting, primarily affecting elderly men and most often related to prostatic pathologies. This study aimed to describe the therapeutic modalities and outcomes of lower urinary retention managed at the Yalgado Ouedraogo University Hospital Center (CHU-YO). Methodology: This was a prospective, descriptive, longitudinal study conducted from August 1, 2023, to January 31, 2024, in the urological emergency department of CHU-YO. All patients admitted for urinary retention were included, except those already catheterized or non-consenting. Epidemiological, clinical, paraclinical, and therapeutic data were collected via Kobo Toolbox and analyzed with SPSS 20. Results: Out of 333 urological emergencies, 198 cases of urinary retention were identified (59.46%). After exclusions, 181 patients were analyzed. The mean age was 65.8 years, with a marked male predominance (92.8%). Retention was complete in 87.3% of cases and of sudden onset in 91.2%. Prostatic pathologies were the main etiology in men, followed by urethral strictures. Obstructive renal failure was present in 34.8% of patients prior to drainage. Transurethral bladder catheterization was the primary drainage method, with a failure rate of 10.9%. Post-drainage complications were dominated by decompression hematuria (5.0%) and post-obstructive diuresis syndrome (4.4%). The mean hospital stay was 3.7 days. Conclusion: Lower urinary retention remains a frequent emergency at CHU-YO, primarily affecting elderly men and dominated by prostatic pathologies. Late diagnosis exposes patients to a high risk of renal complications, underscoring the need for early screening of voiding disorders and strengthening of management capacities at the peripheral level.},
 year = {2026}
}

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TY - JOUR
T1 - Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center
AU - Abdoul-Karim Ouattara
AU - Brahima Kirakoya
AU - Hassami Sawadogo
AU - Neimatou Lingani
AU - Yannick Jean Rodrigue Pingdwende Traore
AU - Fatao Ouedraogo
AU - Clotaire Alexis Marie Kiemdiba Donega Yameogo
AU - Abdoul-Karim Pare
AU - Adama Ouattara
AU - Fasnewinde Aristide Kabore
Y1 - 2026/02/25
PY - 2026
N1 - https://doi.org/10.11648/j.ijcu.20261001.15
DO - 10.11648/j.ijcu.20261001.15
T2 - International Journal of Clinical Urology
JF - International Journal of Clinical Urology
JO - International Journal of Clinical Urology
SP - 19
EP - 27
PB - Science Publishing Group
SN - 2640-1355
UR - https://doi.org/10.11648/j.ijcu.20261001.15
AB - Introduction: Lower urinary retention is one of the most common urological emergencies in the hospital setting, primarily affecting elderly men and most often related to prostatic pathologies. This study aimed to describe the therapeutic modalities and outcomes of lower urinary retention managed at the Yalgado Ouedraogo University Hospital Center (CHU-YO). Methodology: This was a prospective, descriptive, longitudinal study conducted from August 1, 2023, to January 31, 2024, in the urological emergency department of CHU-YO. All patients admitted for urinary retention were included, except those already catheterized or non-consenting. Epidemiological, clinical, paraclinical, and therapeutic data were collected via Kobo Toolbox and analyzed with SPSS 20. Results: Out of 333 urological emergencies, 198 cases of urinary retention were identified (59.46%). After exclusions, 181 patients were analyzed. The mean age was 65.8 years, with a marked male predominance (92.8%). Retention was complete in 87.3% of cases and of sudden onset in 91.2%. Prostatic pathologies were the main etiology in men, followed by urethral strictures. Obstructive renal failure was present in 34.8% of patients prior to drainage. Transurethral bladder catheterization was the primary drainage method, with a failure rate of 10.9%. Post-drainage complications were dominated by decompression hematuria (5.0%) and post-obstructive diuresis syndrome (4.4%). The mean hospital stay was 3.7 days. Conclusion: Lower urinary retention remains a frequent emergency at CHU-YO, primarily affecting elderly men and dominated by prostatic pathologies. Late diagnosis exposes patients to a high risk of renal complications, underscoring the need for early screening of voiding disorders and strengthening of management capacities at the peripheral level.
VL - 10
IS - 1
ER -

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Author Information

Abdoul-Karim Ouattara

Department of Urology, Manga Regional Hospital, Manga, Burkina Faso

Contact Email

http://orcid.org/0009-0008-2280-548X
Brahima Kirakoya

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0000-0003-4942-7278
Hassami Sawadogo

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0009-0003-1292-4892
Neimatou Lingani

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso
Yannick Jean Rodrigue Pingdwende Traore

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0009-0002-1006-0499
Fatao Ouedraogo

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0009-0006-8120-5009
Clotaire Alexis Marie Kiemdiba Donega Yameogo

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0000-0003-3894-9142
Abdoul-Karim Pare

Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso

http://orcid.org/0000-0003-3444-5035
Adama Ouattara

Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso

http://orcid.org/0000-0001-8910-0806
Fasnewinde Aristide Kabore

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0000-0003-4967-6274

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Ouattara, A., Kirakoya, B., Sawadogo, H., Lingani, N., Traore, Y. J. R. P., et al. (2026). Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center. International Journal of Clinical Urology, 10(1), 19-27. https://doi.org/10.11648/j.ijcu.20261001.15

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ACS Style

Ouattara, A.; Kirakoya, B.; Sawadogo, H.; Lingani, N.; Traore, Y. J. R. P., et al. Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center. Int. J. Clin. Urol. 2026, 10(1), 19-27. doi: 10.11648/j.ijcu.20261001.15

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AMA Style

Ouattara A, Kirakoya B, Sawadogo H, Lingani N, Traore YJRP, et al. Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center. Int J Clin Urol. 2026;10(1):19-27. doi: 10.11648/j.ijcu.20261001.15

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@article{10.11648/j.ijcu.20261001.15,
  author = {Abdoul-Karim Ouattara and Brahima Kirakoya and Hassami Sawadogo and Neimatou Lingani and Yannick Jean Rodrigue Pingdwende Traore and Fatao Ouedraogo and Clotaire Alexis Marie Kiemdiba Donega Yameogo and Abdoul-Karim Pare and Adama Ouattara and Fasnewinde Aristide Kabore},
  title = {Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center},
  journal = {International Journal of Clinical Urology},
  volume = {10},
  number = {1},
  pages = {19-27},
  doi = {10.11648/j.ijcu.20261001.15},
  url = {https://doi.org/10.11648/j.ijcu.20261001.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20261001.15},
  abstract = {Introduction: Lower urinary retention is one of the most common urological emergencies in the hospital setting, primarily affecting elderly men and most often related to prostatic pathologies. This study aimed to describe the therapeutic modalities and outcomes of lower urinary retention managed at the Yalgado Ouedraogo University Hospital Center (CHU-YO). Methodology: This was a prospective, descriptive, longitudinal study conducted from August 1, 2023, to January 31, 2024, in the urological emergency department of CHU-YO. All patients admitted for urinary retention were included, except those already catheterized or non-consenting. Epidemiological, clinical, paraclinical, and therapeutic data were collected via Kobo Toolbox and analyzed with SPSS 20. Results: Out of 333 urological emergencies, 198 cases of urinary retention were identified (59.46%). After exclusions, 181 patients were analyzed. The mean age was 65.8 years, with a marked male predominance (92.8%). Retention was complete in 87.3% of cases and of sudden onset in 91.2%. Prostatic pathologies were the main etiology in men, followed by urethral strictures. Obstructive renal failure was present in 34.8% of patients prior to drainage. Transurethral bladder catheterization was the primary drainage method, with a failure rate of 10.9%. Post-drainage complications were dominated by decompression hematuria (5.0%) and post-obstructive diuresis syndrome (4.4%). The mean hospital stay was 3.7 days. Conclusion: Lower urinary retention remains a frequent emergency at CHU-YO, primarily affecting elderly men and dominated by prostatic pathologies. Late diagnosis exposes patients to a high risk of renal complications, underscoring the need for early screening of voiding disorders and strengthening of management capacities at the peripheral level.},
 year = {2026}
}

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