The effect of tamsulosin in postoperative urinary retention: a meta-analysis of randomized controlled trials

Gao, Bixi; Zhang, Dingding; Wang, Yun-Jiang; Wang, Zongqi; Wang, Zhong

doi:10.1007/s00210-022-02343-y

Cited by 4 publications

(1 citation statement)

References 36 publications

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“…For clinicians, it is crucial to thoroughly inquire about the patient's history of diseases or abnormal urination before surgery. For patients with urological diseases, postoperative monitoring of bladder capacity is recommended, and if necessary, oral administration of alpha-adrenergic antagonists such as tamsulosin can be considered to prevent POUR [34]. If recurrent urinary retention occurs or if symptoms of di culty urinating or discomfort persist after discharge, timely consultation with a urologist for further examination and systematic treatment is recommended.…”

Section: Mechanistic Analysis and Management Strategiesmentioning

confidence: 99%

Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis

Li,

Liu,

Huang

et al. 2024

Preprint

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Background Postoperative urinary retention (POUR) refers to the postoperative symptom of bladder fullness without the ability to urinate autonomously. The etiology of POUR in proctology surgery remains unclear, and the underlying causes are multifactorial. The aim of this study was to determine the risk factors for POUR after radical surgery for anal fistula. Methods We retrospectively reviewed the clinical records of 511 patients who underwent radical surgery for anal fistula under general anesthesia at the China-Japan Friendship Hospital from August 2022 to December 2023. Risk factors for POUR were determined using binary logistic regression analyses. Results 57 patients (11.2%) experienced urinary retention within 48 hours after surgery, while the majority of whom were male (84.4%). Multivariate logistic stepwise regression revealed that a history of urological disease (OR = 6.048; P < 0.001), incisions at position 1 (OR = 2.228; P = 0.046), the presence of high anal fistula (OR = 4.768; P < 0.001), a VAS score ≥ 7 (OR = 2.805; P = 0.010), and a GAD-7 score ≥ 5 (OR = 2.405; P = 0.024) were independent risk factors for POUR after radical surgery for anal fistula. Conclusion POUR is a common complication following radical surgery for anal fistula. Patients with urological disease or high anal fistula or incisions at position 1 are more likely to develop POUR. Surgeons should pay more attention to the surgical techniques of fistulas in the anterior rectum. Better postoperative pain and anxiety management strategies should be provided to reduce the incidence of POUR and avoid irreversible damage caused by persistent bladder overdistension.

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Section: Mechanistic Analysis and Management Strategiesmentioning

confidence: 99%

Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis

Li,

Liu,

Huang

et al. 2024

Preprint

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Electroacupuncture for urinary retention after stroke: A systematic review and meta-analysis of randomized controlled trials

Zhang,

Song,

Zhang

et al. 2024

Complementary Therapies in Clinical Practice

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Preoperative tamsulosin effect on postoperative urinary retention following spinal surgery: A randomized controlled trial

Haddadi,

Ahmadi,

Kerigh

et al. 2023

International Journal of Surgery Open

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Background Current study aims to investigate pre-surgical medical intervention on the reduction of POUR incidence in patients undergoing spine surgery. Method The study was a single center double-blind randomized placebo clinical trial. Participants were individuals over 18 years old who underwent spinal surgery at the Educational and Therapeutic Hospital between 2020 and 2023. Inclusion criteria included the ability to provide informed consent and follow the study schedule, while exclusion criteria included certain medical conditions, current medication use, and inability to take oral medication after surgery. Results The study enrolled 100 patients. There was no significant difference in age or gender distribution between the tamsulosin and placebo groups, but the tamsulosin group had a lower prevalence of diabetes. The duration of surgery was shorter in the tamsulosin group, and there was no significant difference in the surgical site. The tamsulosin group had significantly less post-void residual volume on the eighth day of the study, but there were no significant differences in urine output volume during surgery or residual urine volume before or after surgery. Conclusion Tamsulosin may be effective in preventing postoperative urinary retention (POUR), but its effectiveness in treating established POUR is uncertain. The Tamsulosin group had significantly lower post-void residual volume after spine surgery. Considering the low risk of adverse effects, Tamsulosin could be considered for high-risk patients. However, patients should be aware of potential risks and seek medical attention if they experience adverse effects. Further research is needed to determine the best dosage and duration of treatment. Highlights

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The effect of tamsulosin in postoperative urinary retention: a meta-analysis of randomized controlled trials

Cited by 4 publications

References 36 publications

Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis

Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis

Electroacupuncture for urinary retention after stroke: A systematic review and meta-analysis of randomized controlled trials

Preoperative tamsulosin effect on postoperative urinary retention following spinal surgery: A randomized controlled trial

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