Postherniorrhaphy urinary retention—effect of local, regional, and general anesthesia: A review☆

Jensen, Peter; Mikkelsen, Trine; Kehlet, Henrik

doi:10.1053/rapm.2002.37122

Cited by 63 publications

(82 citation statements)

References 68 publications

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“…Several studies found that prophilatic administration of phenoxybenzamine significantly decreases the incidence of postoperative urinary retention (19)(20)(21).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of tamsulosin in prevention of post-operative urinary retention: a randomized double-blind placebo-controlled study

Mokhtari

et al. 2014

Int. braz j urol.

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ARTICLE INFO ______________________________________________________________ ______________________Purpose: Urinary retention is one of the most common complications contributing to surgical procedures. Recent studies have shown the benefits of alpha-adrenergic blockers in preventing post-operative urinary retention (POUR). The aim of this prospective study was to compare the prophylactic effect of tamsulosin with placebo on postoperative urinary retention. Materials and Methods:In this randomized placebo controlled, clinical trial, 232 male patients aged 18 to 50 years old admitted to Razi University Hospital for varicocelectomy, inguinal herniorrhaphy, and scrotal surgery were randomly assigned to receive either three doses of 0.4mg tamsulosin (n = 118) or placebo (n = 114), 14 and 2 hours before, and 10 hours after surgery. Patients were closely monitored for the development of urinary retention 24 hours after surgical intervention. The primary endpoint was to investigate the effect of tamsulosin in prevention of post-operative urinary retention during the first 24 hours after surgical intervention. Collected data were analyzed using SPSS software version 18 and the P < 0.05 was considered statistically significant. Results: One hundred and eighteen patients were included in tamsulosin arm and 114 in placebo arm. POUR in patients who received tamsulosin was significantly lower than placebo, as 5.9% of the patients treated with tamsulosin and 21.1% placebo group, reported urinary retention following surgery (P = 0.001). No serious adverse effects were seen in both groups.Conclusions: This study suggests that short perioperative treatment with tamsulosin can reduce the incidence of urinary retention and the need for catheterization after varicocelectomy, inguinal herniorrhaphy, and scrotal surgery.

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“…Several studies found that prophilatic administration of phenoxybenzamine significantly decreases the incidence of postoperative urinary retention (19)(20)(21).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of tamsulosin in prevention of post-operative urinary retention: a randomized double-blind placebo-controlled study

Mokhtari

et al. 2014

Int. braz j urol.

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“…Postoperative urinary retention requiring catheterisation was seen in two patients in the SA group. This is known to be related to regional anesthesia with rates of up to 20% in some series [15].…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Cholecystectomy Under Spinal Anaesthesia vs. General Anaesthesia: A Prospective Randomised Study

Pujari

Hiremath

et al. 2014

JCDR

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“…14,25 Different patterns in our study can be explained by the fact that all laparoscopic operations were done under general anesthesia, whereas for the Lichtenstein approach, all 28 operations were performed using local anesthesia. The impact of general anesthesia on the development of urinary retention is reviewed by Jensen et al 26 As mentioned above, all Lichtenstein operations were performed using local anesthesia. We think that this is an advantage of this type of surgical intervention compared with endoscopic methods.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Lichtenstein and Laparoscopic Transabdominal Preperitoneal Repair of Recurrent Inguinal Hernias

Demetrashvili

Qerqadze

Kamkamidze

et al. 2011

International Surgery

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The aim of our study was the comparative analysis of the results of two surgical methods: tension-free repair by the Lichtenstein technique and laparoscopic transabdominal preperitoneal (TAPP) repair. In total 52 patients with recurrent inguinal hernia were randomly assigned to the two groups: Lichtenstein (28 patients) and TAPP (24 patients). Comparisons between these groups were done by several preoperative, intraoperative, and postoperative factors. For postoperative factors both short-term and long-term results were considered. Average operation time for Lichtenstein group was 59.6 ± 9.9 minutes, compared with 64.4 ± 8.4 minutes for TAPP patients (P = 0.068). In TAPP patients there was less pain in the postoperative period (P = 0.002) and fewer sick-leave days (13.4 ± 1.7 versus 17.5 ± 2.6 days; P , 0.001) and, correspondingly, faster recovery. In the Lichtenstein group a total of 4 postoperative complications (infection, hematoma, seroma, urinary retention) were observed, compared with 8 in the TAPP group (P = 0.19). Statistically significant difference was only by urinary retention (0 for Lichtenstein, 4 for TAPP; P = 0.039). There were no cases of hernia recurrence observed during the followup. Chronic pain developed in 5 patients from the Lichtenstein group (17.9%) and 2

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Postherniorrhaphy urinary retention—effect of local, regional, and general anesthesia: A review☆

Abstract: The low incidence of UR with LA is in accordance with the inhibitory effects of RA and GA on bladder function. Data from newer short-acting techniques of GA and RA are required to define the optimal anesthetic for inguinal herniorrhaphy.

Cited by 63 publications

References 68 publications

Effectiveness of tamsulosin in prevention of post-operative urinary retention: a randomized double-blind placebo-controlled study

Effectiveness of tamsulosin in prevention of post-operative urinary retention: a randomized double-blind placebo-controlled study

Laparoscopic Cholecystectomy Under Spinal Anaesthesia vs. General Anaesthesia: A Prospective Randomised Study

Comparison of Lichtenstein and Laparoscopic Transabdominal Preperitoneal Repair of Recurrent Inguinal Hernias

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