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International Journal of Colorectal Disease

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01-01-2022 | Rectal Extirpation | Original Article

Prophylactic tamsulosin and urinary retention rates following elective colorectal surgery: a retrospective cohort study

Authors: Amandeep Ghuman, Mark T. Dawidek, Manraj S. Athwal, Naomi Kasteel, Carl J. Brown, Ahmer A. Karimuddin, Manoj J. Raval, P. Terry Phang

Published in: International Journal of Colorectal Disease | Issue 1/2022

Abstract

Purpose

Postoperative urinary retention (POUR) is a known morbidity after colorectal surgery. This study investigated the effect of prophylactic tamsulosin on urinary retention rates after colorectal surgery.

Methods

A retrospective cohort study of male patients 50 years or older undergoing elective colonic and rectal resections from May 2014 to November 2019 was performed. The intervention assessed was prophylactic tamsulosin use. POUR, defined by requiring intermittent or reinsertion of urinary catheter, was compared using chi-squared analysis.

Results

A total of 332 patients were included, 131 received no tamsulosin, and 201 received prophylactic tamsulosin. Overall POUR was significantly reduced (16.8% vs. 9.5%, p = 0.047). Subgroup analysis for age 50–59 revealed no difference (9.1% vs. 9.4%, p = 0.96), but POUR risk was significantly lower in age 60 and older (20.7% vs. 9.5%, p = 0.02). No significant difference was found in rectal resections alone (18.2% vs. 13.2%, p = 0.34).

Conclusion

Prophylactic tamsulosin reduced POUR after colorectal surgery with the greatest effect in men 60 years or older and colonic resections.

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Title: Prophylactic tamsulosin and urinary retention rates following elective colorectal surgery: a retrospective cohort study
Authors: Amandeep Ghuman
Mark T. Dawidek
Manraj S. Athwal
Naomi Kasteel
Carl J. Brown
Ahmer A. Karimuddin
Manoj J. Raval
P. Terry Phang
Publication date: 01-01-2022
Publisher: Springer Berlin Heidelberg
Keywords: Rectal Extirpation
Rectal Extirpation
Tamsulosin
Published in: International Journal of Colorectal Disease / Issue 1/2022
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-021-04047-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Prophylactic tamsulosin and urinary retention rates following elective colorectal surgery: a retrospective cohort study

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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