Tamsulosin reduces the incidence of acute urinary retention following early removal of the urinary catheter after radical retropubic prostatectomy

Patel, Rahila; Fiske, Joshua; Lepor, Herbert

doi:10.1016/s0090-4295(03)00333-9

Cited by 25 publications

(16 citation statements)

References 16 publications

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“…Its preventive effect has not been previously studied in reducing the risk of POUR after herniorrhaphy. Patel et al [19] investigated the potential efficacy of alpha-blockers for facilitating early removal of the urinary catheter following radical prostatectomy. A consecutive group of 250 men undergoing radical prostatectomy received tamsulosin, 0.4 mg, 3 days before a cystography planned for postoperative day 8.…”

Section: Discussionmentioning

confidence: 99%

Preventive Effect of Tamsulosin on Postoperative Urinary Retention

2012

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PurposeTo investigate the prophylactic effect of Tamsulosin, a super-selective alpha-1a adrenergic blocking agent, on the development of urinary retention in men undergoing elective inguinal herniorrhaphy.Materials and MethodsFrom May 2010 through November 2011, a total of 80 males who underwent elective inguinal herniorrhaphy in a university hospital were included in this study. Patients were randomly assigned to one of two groups. In group one (control), the patients were given two doses of placebo orally, 6 hours before surgery and 6 to 12 hours after surgery. Patients in group two were given 0.4 mg of Tamsulosin orally in the same manner as the placebo. All patients were closely followed for 24 hours post-operatively, and any voiding difficulties or urinary retention was recorded.ResultsThere were 40 patients in group one (control group) and 40 patients in group two (Tamsulosin group). The patients' mean age was 64 years. In group one, 6 patients and in group two, 1 patient required catheterization. Thus, 15% of patients in group I and 2.5% of patients in group II had urinary retention. The difference in the requirement for catheterization was statistically significant (p=0.04). The technique of herniorrhaphy, the side of the body in which the hernia was located, the type of anesthesia, the duration of the surgery, and the severity of pre-operative urinary symptoms had no significant effect on the incidence of urinary retention.ConclusionsThe use of perioperative Tamsulosin represents an effective strategy to reduce the risk of post-operative urinary retention following inguinal herniorrhaphy.

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Section: Discussionmentioning

confidence: 99%

Preventive Effect of Tamsulosin on Postoperative Urinary Retention

2012

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“…[15]. Acute urinary retention may be due to a edema or increased tone of the bladder neck muscle, and tamsulosin reduces the risk of acute urinary retention at early catheter removal after radical retropubic prostatectomy [15,17].…”

Section: Discussionmentioning

confidence: 99%

Factors affecting urethral stricture development after radical retropubic prostatectomy

Altinova¹,

Şerefoğlu²,

Özdemır³

et al. 2009

Int Urol Nephrol

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“…In an updated series, Patel et al. [6] evaluated the efficacy of tamsulosin in reducing the incidence of urinary retention after early catheter removal. Tamsulosin 0.4 mg was administered daily to patients from 3 days before until 4 days after catheter removal.…”

Section: Discussionmentioning

confidence: 99%

“…Patel et al. [6] proposed adding short‐term α‐blocker therapy before and after catheter removal to decrease the incidence of urinary retention.…”

Section: Introductionmentioning

confidence: 99%

Neither α‐blocker therapy nor cystography is required before early catheter removal after radical prostatectomy

et al. 2005

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urinary retention after early catheter removal, with no cystogram or using an a -blocker. RESULTSThe mean age of the men was 60 years and 99% were clinical stage T1 or T2; 74% had their catheters removed 8 days after RRP. The incidence of urinary retention was 1.3%, and of haematuria requiring catheter replacement 2.6%. Two patients (1.3%) developed a bladder neck contracture. CONCLUSIONSIn the present study removing an indwelling catheter 1 week after RRP was safe, with a minimal risk of urinary retention or bladder neck contracture. The addition of an ablocker is unlikely to reduce the already low incidence of urinary retention.

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Tamsulosin reduces the incidence of acute urinary retention following early removal of the urinary catheter after radical retropubic prostatectomy

Cited by 25 publications

References 16 publications

Preventive Effect of Tamsulosin on Postoperative Urinary Retention

Preventive Effect of Tamsulosin on Postoperative Urinary Retention

Factors affecting urethral stricture development after radical retropubic prostatectomy

Neither α‐blocker therapy nor cystography is required before early catheter removal after radical prostatectomy

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