Overview of lower urinary tract symptoms post-trauma intensive care unit admission

Abstract

Background: The study was undertaken to assess the incidence of lower urinary tract symptoms (LUTS) after shortterm indwelling urethral catheter (IUC) in polytrauma patients admitted to a level one trauma unit using core lower urinary tract symptom score (CLSS). Data of patients admitted between January 2013 and December 2015 and meeting the study criteria were retrieved from the hospital informatics system. Chart review was done, and patients were subsequently interviewed telephonically. Results: Ninety-four respondents comprising of 81.9% males and 18.1% females out of the 221 eligible patients were contacted. The most common LUTS reported was urethral pain, and 90% had mild to moderate symptoms. No severe LUTS were identified. There was a positive correlation between the duration of IUC and LUTS, but there was no statistically significant association between age and LUTS in our study population. Conclusion: Short-term duration of IUC in the trauma ICU patient is associated with predominantly mild irritative LUTS which are mostly self-limiting and may not need further investigations and management. CLSS was found to be a useful screening tool. Further studies are needed to confirm findings in our study.

Systematic review exploring the relationship between sexual abuse and lower urinary tract symptoms

“…It is likely, however, that there are different mechanisms responsible for LUTS in survivors of SA. Physical trauma to the perineum and pelvis [57,58] can result in damage to the regional anatomy. Studies have shown an association between LUTS and anxiety, depression [59][60][61][62] and PTSD [63].…”