Tamsulosin effective in Prevention of Post-operative Urinary
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Among the anorectal surgeries, the hemorrhoidectomy procedure is most often performed. Following this procedure, urinary retention is the most common complication. The study was aimed to prevent postoperative urinary retention (POUR) in patients undergoing hemorrhoidectomy.

Tamsulosin was administered during the pre and postoperative phases in the study group and observe its efficacy in the prevention of the development of POUR in patients undergoing hemorrhoidectomy and compare with the non-tamsulosin group.

In the prospective observational study, 128 patients were reviewed and were divided into study and control group. In the study group, tamsulosin 0.4 mg was administered orally 6 h before surgery and 6 to 12 h after surgery. Patients were closely followed up for the next 24 h, the immediate post-operative period for voiding difficulties. Each group has 64 patients; in the control group, 14 cases with POUR required catheterization, and in the tamsulosin group, 4 cases with POUR required catheterization.

Conclusively "The difference in the requirement of catheterization between the two groups was statistically significant. During the perioperative period, the use of tamsulosin was found effective in the prevention of POUR in patients undergoing hemorrhoidectomy." as stated by the Indian Journal of Surgery

Source: https://doi.org/10.1007/s12262-020-02658-1
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