Study on the Efficacy of Tamsulosin in Prevention of Post-operative Urinary Retention in Patients Undergoing Hemorrhoidectomy

Abstract

Among the anorectal surgeries, hemorrhoidectomy procedure is most often performed. Following this procedure, urinary retention is the most common complication. The aim of this article was to prevent post-operative urinary retention (POUR) in patients undergoing hemorrhoidectomy. The objective of this article was to administer tamsulosin during the pre and post-operative 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 our 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. This difference in requirement of catheterization between 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.