English

Abstract

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. CONCLUSIONS Tamsulosin, before and after surgery, is useful in reducing the incidence of POUR in patients undergoing elective laparoscopic inguinal hernia repair. KEYWORDS Laparoscopic Hernioplasty, Tamsulosin, Urinary Retention, Alpha Adrenergic Antagonist, Post-Operative Urinary Retention (POUR), Post-Voiding Residual Urine Volume (PRV) 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.