The role of alpha blockers prior to removal of urethral catheter for acute urinary retention in men

Fisher, E.; Subramonian, Kesavapillai; Omar, Muhammad Imran

doi:10.1002/14651858.cd006744.pub3

Cited by 33 publications

(29 citation statements)

References 38 publications

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“…Of the trials mentioning adverse effects, there was not enough information to detect statistically significant differences between groups and CoE was low. Overall, adverse effect rates were low for both placebo and a1-blockers [20].…”

Section: Discussionmentioning

confidence: 91%

“…A Cochrane SR assessed the effectiveness of a1-blockers in successful resumption of micturition following removal of urethral catheter after an episode of AUR in men [20]. Nine RCTs were included.…”

Section: Discussionmentioning

confidence: 99%

“…Management of UR secondary to BPO (UR/BPO) varies widely. Relevant systematic reviews (SRs) are scarce [19][20][21]. The European Association of Urology (EAU) Nonneurogenic Male Lower Urinary Tract Symptoms (LUTS) Guidelines Panel acknowledges the current lack of high certainty of evidence (CoE) and the growing scientific base, and cites the need to understand more about management options.…”

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confidence: 99%

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Management of urinary retention in patients with benign prostatic obstruction: A systematic review and meta-analysis

Karavitakis¹,

Kyriazis²,

Omar³

et al. 2019

European Urology Supplements

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E U R O P E A N U R O L O G Y X X X ( 2 0 1 8 ) X X X -X X X a v a i l a b l e a t w w w . s c i e n c e d i r e c t . c o m j o u r n a l h o m e p a g e : w w w . e u r o p e a n u r o l o g y . c o m AbstractContext: Practice patterns for the management of urinary retention (UR) secondary to benign prostatic obstruction (BPO; UR/BPO) vary widely and remain unstandardized. Objective: To review the evidence for managing patients with UR/BPO with pharmacological and nonpharmacological treatments included in the European Association of Urology guidelines on non-neurogenic male lower urinary tract symptoms. Evidence acquisition: Search was conducted up to April 22, 2018, using CENTRAL, MEDLINE, Embase, ClinicalTrials.gov, and World Health Organization International Clinical Trials Registry Platform. This systematic review included randomized controlled trials (RCTs) and prospective comparative studies. Methods as detailed in the Cochrane handbook were followed. Certainty of evidence (CoE) was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Evidence synthesis: Literature search identified 2074 citations. Twenty-one studies were included (qualitative synthesis). The evidence for managing patients with UR/ BPO with pharmacological or nonpharmacological treatments is limited. CoE for most outcomes was low/very low. Only a1-blockers (alfuzosin and tamsulosin) have been evaluated in more than one RCT. Pooled results indicated that a1-blockers provided significantly higher rates of successful trial without catheter compared with placebo [alfuzosin: 322/540 (60%) vs 156/400 (39%) (odds ratio {OR} 2.28, 95% confidence interval {CI} 1.55 to 3.36; participants = 940; studies = 7; I 2 = 41%; low CoE); tamsulosin: 75/158 (47%) vs 40/139 (29%) (OR 2.40, 95% CI 1.29 to 4.45; participants = 297; studies = 3; I 2 = 30%; low CoE)] with rare adverse events. Similar rates were achieved with tamsulosin or alfuzosin [51/87 (59%) vs 45/84 (54%) (OR 1.28, 95% CI 0.68 to 2.41;

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Management of urinary retention in patients with benign prostatic obstruction: A systematic review and meta-analysis

Karavitakis¹,

Kyriazis²,

Omar³

et al. 2019

European Urology Supplements

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“…In 2 cohorts of AUR patients treated with alfuzosin (5 mg) or placebo, the rate of therapeutic success was 59% and 18%, respectively . A recent Cochrane review has subsequently confirmed the advantages of using alpha‐blockers with TWOC in AUR patients, making this type of treatment one of the most widely used today. According to Guang‐Jun, spontaneous micturition recovery after AUR secondary to BPE occurs in the 38.9% and 56.8% of patients treated with catheterization alone or catheterization and alpha‐blockers, respectively .…”

Section: Discussionmentioning

confidence: 99%

Predictive variables of spontaneous micturition recovery after acute urinary retention in men with benign prostatic enlargement: An observational prospective study

Vella

Abrate

Costanzo

et al. 2018

LUTS

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“…Addition of adrenoceptor antagonist may be helpful for treatment acute postoperative urinary dysfunction. 13 Alternatively, patients can be considered for treatment with intermittent catheterization. Patients who fail multiple attempts at voiding trials should be considered for discharge with urinary catheterization.…”

Section: Treatment Of Urinary Dysfunctionmentioning

confidence: 99%

Overlooked Long-Term Complications of Colorectal Surgery

Giglia

Stein

2019

Clinics in Colon and Rectal Surgery

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While colorectal surgery has been documented to have some of the highest complication rates in the surgical field, some of the more common, functional complications are often overlooked in the literature and in discussion with patients. Urinary, sexual, and defecatory dysfunction are common after colorectal surgery, especially after pelvic dissections, and may severely impact the postoperative quality of life for patients. These complications include urinary retention, erectile dysfunction, retrograde ejaculation, dyspareunia, infertility, and low anterior resection syndrome. The majority is rooted in autonomic nerve damage, both sympathetic and parasympathetic, that occurs during mobilization and resection of the sigmoid colon and rectum. While not all of these postoperative complications are preventable, treatment strategies have been developed to ameliorate the impact on quality of life. Given the high incidence and direct effect on patients, clinicians should be familiar with the etiology, prevention, and treatment strategies of these complications to provide the highest quality of care.

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The role of alpha blockers prior to removal of urethral catheter for acute urinary retention in men

Cited by 33 publications

References 38 publications

Management of urinary retention in patients with benign prostatic obstruction: A systematic review and meta-analysis

Management of urinary retention in patients with benign prostatic obstruction: A systematic review and meta-analysis

Predictive variables of spontaneous micturition recovery after acute urinary retention in men with benign prostatic enlargement: An observational prospective study

Overlooked Long-Term Complications of Colorectal Surgery

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