Abstract
With great interest, we read the paper titled ‘A meta-analysis of the efficacy of prophylactic alpha-blockade for the prevention of urinary retention following primary unilateral inguinal hernia repair’ by Clancy and colleagues. 1 Clancy C. Coffey J.C. O'Riordain M.G. et al. A meta-analysis of the efficacy of prophylactic alpha-blockade for the prevention of urinary retention following primary unilateral inguinal hernia repair. Am J Surg. 2017; Abstract Full Text Full Text PDF PubMed Scopus (16) Google Scholar We congratulate and applaud their significant work, but several important methodological pitfalls puzzling us may result in potential overestimation of the authentic intervention effect. A meta-analysis of the efficacy of prophylactic alpha-blockade for the prevention of urinary retention following primary unilateral inguinal hernia repairThe American Journal of SurgeryVol. 216Issue 2PreviewUrinary retention following inguinal hernia surgery is common and is believed to be associated with adrenergic over-stimulation of the smooth muscle in the bladder neck and prostate. The efficacy of prophylactic alpha-blockade in the prevention of urinary retention following elective inguinal hernia repair in males is unknown. Full-Text PDF
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