A comprehensive assessment of urinary retention in adult male patients who attended
Kampala International University Teaching Hospital (KIU-TH) was conducted. To determine
the number of adult male patients diagnosed with Urinary Retention (UR) to determine the
risk factors of urinary retention among adult males who were diagnosed with urinary
retention, to establish the management of urinary retention among adult males diagnosed
with urinary retention at KIU-TH between august 2015 to august 2017. A retrospective and a
descriptive study design was used, involving quantitative methods of data collection.
Purposeful sampling technique was employed, where all adult males who attended KIU-TH
between august 2015 and august 2017 were recruited in the study. From results out of 136
samples of adult male patients with UR, 63 (46.3%) had no UR and 73 (53.7%) had UR. Out of
the 73 (53.7%) adult male patients, 52 (71.2%) with presented with AUR then 21 (28.8 %) of
the people had CUR. Furthermore, of 73 (53.7%) of the adult male patients with UR, 19 (26.1%)
was in 2015 from August to December, and 32 (43.8%) adult male patients were in 2016
January to December, and 22 (30.1%) adult male patients in 2017 between January to August.
This was found more in elderly men between the age 60 to 89 years by 53 (72.6%) followed
by, 40 to 60 years by 14 (19.2%), then 23 to 40 years by 6 (8.2%) patients. The risk factors UR
were BPH, prostate cancer, urinary stricture, and others that included bladder tumors, and
urethral traumas where BPH was the leading cause of UR with 45 (61.6%) patients, followed
by 10 (13.7%) followed by urethral stricture and 5(6.8%) was due to other causes such as
bladder tumors urethral trauma and paraphimosis. 26 (35.6%) people had UR were managed
by urethral catheterization, 17 (23.3%) had UR managed by supra pubic catheterization, 23
(31.5%) had UR managed by surgery and 7 (9.6%) were managed by other measures like
medication circumcision. In conclusion Results portrayed that although the management
measures were available such urethral catheterization and surgery which were the most
practice at KIU-TH, there remained high prevalence of UR which was more in the elderly
adults commonest cause was BPH. All males above 60 years need to be assed and examined
to rule out the causes of urinary retention for early management. It is also necessary to
necessary that all males above forty years to be encouraged for BPH and early treatment of
urinary tract infections to prevent outlet obstruction ant formation strictures respectively.
Keywords: Urinary retention, adult males, Patients, Bladder tumor, Urethral catheterization.

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