Revathi Reghunath1, Jinu Ibrahim Jamaludeen2
BACKGROUND
After surgery, 1 / 4th of patients develop urinary retention. POUR (Post-Operative
Urinary Retention) is clinically identifiable urinary bladder post-operatively. POUR
occurs more frequently after hernia surgeries (both open and laparoscopic
methods), lower urinary tract, perineal, gynaecologic, and anorectal surgeries.
tamsulosin, being an alpha-1 receptor blocker, decreases the bladder neck tone
and hence increases the efficiency of micturition. We wanted to evaluate
tamsulosin in preventing POUR in patients who underwent laparoscopic groin
hernioplasty.
METHODS
From January 2017 through January 2018, a total of 150 males more than 40
years of age who underwent laparoscopic inguinal hernia repair in Government
T.D. Medical College were included in this study. In group 1, patients were given
0.4 mg Tamsulosin orally, 2 weeks before surgery and continued postoperatively
and group 2 patients were selected from other units in surgery where tamsulosin
was not used.
RESULTS
There are 75 patients in group 1 (tamsulosin) and 75 patients in group 2 (control
group). All the patients were male and the mean age in both the groups was
almost similar. In tamsulosin group 5 patients (6.7 %), and in control group 14
patients (18.7 %) developed Post-Operative Urinary Retention (POUR). The type
and side of hernia, duration of surgery, and post-voiding residual urine volume
(PRV) were not effective in causing POUR. There was significantly lower incidence
of post-operative urinary retention in Tamsulosin group compared to control
group. The age, severity of seven pre-operative urinary symptoms and the
prostate volume was statistically significant in patients who developed postoperative
urinary retention in both groups.
CONCLUSIONS
Tamsulosin, before and after surgery, is useful in reducing the incidence of POUR
in patients undergoing elective laparoscopic inguinal hernia repair.
