α-Adrenergic Blocker for Posthernioplasty Urinary Retention

Goldman, Gideon; Leviav, Amos; Mazor, A; Kashtan, Hanoch; Aladgem, David; Greenstein, Alexander; Wiznitzer, T

doi:10.1001/archsurg.1988.01400250037005

Cited by 46 publications

(30 citation statements)

References 10 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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“…Urinary retention has been a frequent complication after open inguinal hernia repair, with a reported incidence ranging from 0.2% to 25% [5,6,12,17]. For TEP, the corresponding incidence of urinary retention varies from 1.5% to 4.2% (Table 3) [1,11,15,20,21].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies cited long anesthesia, use of opiate analgesics, old age, and overhydration during operation as possible causes for the development of postoperative urinary retention [6,17]. However, none of these studies had performed regression analysis to con®rm the independence of these factors.…”

Section: Discussionmentioning

confidence: 99%

Urinary retention following endoscopic totally extraperitoneal inguinal hernioplasty

et al. 2002

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“…The only patient-related risk factor in the meta-analysis to be assessed using only prospective studies was the role of α-blockers, where the criteria for patient selection, method of allocation and blinding were either inadequate or not described in the majority of studies. Three of the five studies 29,32,33 assessing α-blockers were considered of poor methodological quality with high risk of systematic bias.…”

Section: Methodological Qualitymentioning

confidence: 99%

Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis

Mason

Scott

Mayer

et al. 2016

The American Journal of Surgery

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α-Adrenergic Blocker for Posthernioplasty Urinary Retention

Cited by 46 publications

References 10 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

Urinary retention following endoscopic totally extraperitoneal inguinal hernioplasty

Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis

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