Preventive effect of tamsulosin on postoperative urinary retention in benign anorectal surgeries

Ahmad, Muzaffar; Wani, Hilal Ahmad; Jeelani, Asif; Thakur, S.; Waseem, Malik; Nazir, Irfan

doi:10.4103/2320-3846.140687

Cited by 9 publications

(10 citation statements)

References 2 publications

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“…[1915161820] Mohammadi-Fallah et al . followed 80 males who underwent elective inguinal herniorrhaphy.…”

Section: Discussionmentioning

confidence: 99%

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Preventive effect of tamsulosin on postoperative urinary retention in neurosurgical patients

Basheer¹,

Alsaidi²,

Schultz³

et al. 2017

Surg Neurol Int

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Background:Postoperative urinary retention (POUR) is common in neurosurgical patients. The use of alpha-blockade therapy, such as tamsulosin, has benefited many patients with a history of obstructive uropathy by decreasing lower urinary tract symptoms such as distension, infections, and stricture formation, as well as the incidence of POUR. For this study, we targeted patients who had undergone spinal surgery to examine the prophylactic effects of tamsulosin. Increased understanding of this therapy will assist in minimizing the morbidity of spinal surgery.Methods:We enrolled 95 male patients undergoing spine surgery in a double-blind, randomized, placebo-controlled trial. Patients were randomly assigned to receive either preoperative tamsulosin (N = 49) or a placebo (N = 46) and then followed-up prospectively for the development of POUR after removal of an indwelling urinary catheter (IUC). They were also followed-up for the incidence of IUC reinsertions.Results:The rate of developing POUR was similar in both the groups. Of the 49 patients given tamsulosin, 16 (36%) developed POUR compared to 13 (28%) from the control group (P = 0.455). In the control group, 5 (11%) patients had IUC re-inserted postoperatively, whereas 7 (14%) patients in the tamsulosin group had IUC re-inserted postoperatively (P = 0.616). In patients suffering from axial-type symptoms (i.e., mechanical back pain), 63% who received tamsulosin and 18% from the control group (P = 0.048) developed POUR.Conclusion:Overall, there was no statistically significant difference in the rates of developing POUR among patients in either group. POUR is caused by a variety of factors, and further studies are needed to shed light on its etiology.

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“…[1915161820] Mohammadi-Fallah et al . followed 80 males who underwent elective inguinal herniorrhaphy.…”

Section: Discussionmentioning

confidence: 99%

“…We are aware of only four randomized trials that assessed the effectiveness of tamsulosin administered perioperatively to prevent POUR, however, none involved spine surgery. [ 1 9 15 16 18 20 ] Mohammadi-Fallah et al . followed 80 males who underwent elective inguinal herniorrhaphy.…”

Section: Discussionmentioning

confidence: 99%

Preventive effect of tamsulosin on postoperative urinary retention in neurosurgical patients

Basheer¹,

Alsaidi²,

Schultz³

et al. 2017

Surg Neurol Int

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“…На сьогодні опубліковано щонайменше вісім клінічних досліджень, в яких оцінювали безпечність і ефективність тамсулозину як селективного блокатора альфа-1-адренергічних рецепторів для профілактики післяопераційної ГЗС у пацієнтів чоловічої статі після різних типів оперативного втручання [24,25]. Результати цих досліджень у цілому узгоджуються, у шести з восьми з них повідомляється про статистично значуще зниження ризику виникнення ГЗС при застосуванні тамсулозину порівняно з плацебо [24,25,26,27,28,29]. Три обсерваційних дослідження також виявили позитивні результати, пов'язані з використанням тамсулозину у хірургічних хворих після операції [30,31,32].…”

Section: висновкиunclassified

Selective Alpha Adrenoblocker and the Risk of Development of Acute Urine Retention

Гурженко

Спиридоненко²

2019

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дУ «Інститут урології НАмН України», м. Київ У статті наведено аналіз сучасних наукових робіт, присвячених ефективності консервативної терапії тамсулозином доброякісної гіперплазії передміхурової залози та гострої затримки сечі з різних причин. Застосування тамсулозину у пацієнтів із доброякісною гіперплазією передміхурової залози сприяє позитивній тенденції до зниження загального рівня ускладнень у вигляді гострої затримки сечі. Згідно із сучасними мета-аналізами, присвяченими даній проблемі, тамсулозин є одним з основних препаратів, що ефективно застосовують з метою зменшення ризику виникнення гострої затримки сечі у пацієнтів із доброякісною гіперплазією передміхурової залози, а також в осіб із ризиком розвитку гострої післяопераційної затримки сечі. Ключові слова: доброякісна гіперплазія передміхурової залози, гостра затримка сечі, післяопераційна затримка сечі, тамсулозин. Selective alpha adrenoblocker and the risk of development of acute urine retention Yu.M. Gurzhenko, V.V. Spyrydonenko The article analyzes the modern scientific works on the effectiveness of conservative therapy for benign prostatic hyperplasia and acute urinary retention of various etiologies with tamsulosin. The use of tamsulosin in patients with benign prostatic hyperplasia has a positive effect on reducing the overall level of complications such as acute urinary retention. According to modern meta-analyzes on this problem, tamsulosin is one of the main drugs that are effectively used to reduce the risk of acute urinary retention in patients with benign prostatic hyperplasia and patients at risk of developing acute postoperative urinary retention.

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“…[ 1 ] The high prevalence requires a restorative surgery, where about 300,000 restorative surgeries have been reported annually in the United States. [ 2 ] Demographic studies have reported a prevalence of 11%–19% for reconstructive surgery of female pelvic floor prolapse over a lifetime. [ 3 ] Pelvic organ prolapse is associated with poor sexual satisfaction of couples, and colporrhaphy is recommended in women who suffer from distressing symptoms such as dyspareunia and sexual problems, where they do not respond to other supportive therapies.…”

Section: Introductionmentioning

confidence: 99%

“…[ 7 ] Postoperative urinary retention (POUR) is defined as a disability in urinary excision after surgery. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Evaluation the efficacy of prophylactic tamsulosin in preventing acute urinary retention and other obstructive urinary symptoms following colporrhaphy surgery

Shokrpour

Shakiba

Sirous

et al. 2019

J Family Med Prim Care

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Background and Aim:Postoperative urinary retention (POUR) is defined as a disability in urinary excision after surgery. There are several strategies to prevent POUR, such as tamsulosin, which is a selective antagonist at alpha-1A and alpha-1B-adrenoceptors which reduces the bladder outlet resistance. The aim of this study was to investigate the efficacy of prophylactic tamsulosin in preventing acute urinary retention and other obstructive urinary symptoms following colporrhaphy surgery.Materials and Methods:This study was a randomized, double-blind clinical trial. A total of 130 patients who were candidates for colporrhaphy were divided into two groups: the intervention group (65 subjects received 0.4 mg tamsulosin in a single dose at the time of sleeping) and the control group (65 subjects received placebo at the same time as the intervention group). The incidence of acute urinary retention and other obstructive urethral symptoms and the mean urination volume after catheterization were recorded 24 h after operation. Patients’ demographic and clinical data were analyzed using SPSS version 20 software using Chi-square and Fisher's tests.Results:There was a significant difference in the incidence of acute urinary retention, decrease in urine flow diameter, and the mean residual urine volume Post Void Residual (PVR) in the bladder, and the incidence of these symptoms decreased in the tamsulosin recipient group. The incidence of other symptoms of acute urinary retention was not significantly different when compared between both the groups.Conclusion:It seems that the use of prophylactic tamsulosin is more effective in decreasing the incidence of acute urinary retention, decreasing the PVR in the bladder, and decreasing the diameter of the urine flow in patients after colporrhaphy.

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Preventive effect of tamsulosin on postoperative urinary retention in benign anorectal surgeries

Cited by 9 publications

References 2 publications

Preventive effect of tamsulosin on postoperative urinary retention in neurosurgical patients

Preventive effect of tamsulosin on postoperative urinary retention in neurosurgical patients

Selective Alpha Adrenoblocker and the Risk of Development of Acute Urine Retention

Evaluation the efficacy of prophylactic tamsulosin in preventing acute urinary retention and other obstructive urinary symptoms following colporrhaphy surgery

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