SynthesisWorld journal of urology2025
Acute urinary retention in children: a systematic review and meta-analysis.
Synthesis in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Constipation in the Pediatric Emergency Department: Clinical Presentations, Diagnostic Context and Testing Patterns.Diseases (Basel, Switzerland) · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAcute urinary retention (AUR) in children is a rare but significant urological emergency, characterized by an inability to void despite a full bladder. Despite its clinical significance, standardized diagnostic and management protocols are lacking, and the long-term outcomes remain poorly understood. This systematic review and meta-analysis aim to synthesize data on the prevalence, risk factors, etiologies, and treatment outcomes of AUR in pediatric patients.
methodsFollowing PRISMA guidelines, a systematic literature search was conducted across PubMed, Scopus, and CINAHL Ultimate databases until January 2025. Eligible studies included pediatric AUR cases (< 18 years) with at least ten patients. Meta-analysis was performed using a random-effects model. Sensitivity analyses and funnel plots were employed to evaluate robustness and potential publication bias.
resultsEight studies (n = 611 patients) were included. The pooled prevalence of infectious causes was 26.9% (95% CI: 16.0%-39.4%), obstructive causes 19.0% (95% CI: 7.4%-34.1%), and neurological causes 6.4% (95% CI: 2.6%-11.6%). Other identified causes included post-procedural (6.9%, 95% CI: 0.8%-17.2%), bladder musculature dysfunction (3.8%, 95% CI: 0.8%-8.2%), external compression (11.1%, 95% CI: 7.6%-15.1%), and idiopathic (14.6%, 95% CI: 9.9%-20.0%). Catheterization was the primary treatment, with most requiring intervention and some resolving spontaneously. Recurrence was also observed in a few cases.
conclusionPediatric AUR presents a complex diagnostic challenge due to diverse etiologies and varying clinical presentations. Early recognition and targeted intervention are critical in reducing complications. Future studies should focus on standardizing diagnostic protocols and long-term follow-up to optimize management strategies for pediatric AUR.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.