Skip to main content

Advertisement

SpringerLink
Log in

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

  • Original Article
  • Published:
International Journal of Colorectal Disease Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Regenbogen SE, Read TE, Roberts PL, Marcello PW, Schoetz DJ, Ricciardi R (2011) Urinary tract infection after colon and rectal resections: more common than predicted by risk-adjustment models. J Am Coll Surg 213(6):784–792. https://doi.org/10.1016/j.jamcollsurg.2011.08.013

    Article  PubMed  Google Scholar 

  2. Kang CY, Chaudhry OO, Halabi WJ, Nguyen V, Carmichael JC, Mills S et al (2012) Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. Am Surg 78(10):1100–1104

    Article  Google Scholar 

  3. Benoist S, Panis Y, Denet C, Mauvais F, Mariani P, Valleur P (1999) Optimal duration of urinary drainage after rectal resection: a randomized controlled trial. Surgery 125(2):135–141

    Article  CAS  Google Scholar 

  4. Kwaan MR, Lee JT, Rothenberger DA, Melton GB, Madoff RD (2015) Early removal of urinary catheters after rectal surgery is associated with increased urinary retention. Dis Colon Rectum 58(4):401–405

    Article  Google Scholar 

  5. Lee SY, Kang SB, Kim DW, Oh HK, Ihn MH (2015) Risk factors and preventive measures for acute urinary retention after rectal cancer surgery. World J Surg 39(1):275–282

    Article  Google Scholar 

  6. Ghuman A, Kasteel N, Karimuddin AA, Brown CJ, Raval MJ, Phang PT (2018) Urinary retention in early urinary catheter removal after colorectal surgery. Am J Surg 215(5):949–952. https://doi.org/10.1016/j.amjsurg.2018.01.032

    Article  PubMed  Google Scholar 

  7. Nickel JC (2003) The use of α1-adrenoceptor antagonists in lower urinary tract symptoms: beyond benign prostatic hyperplasia. Urology 62(3 SUPPL. 1):34–41

    Article  Google Scholar 

  8. Jang JH, Kang SB, Lee SM, Park JS, Kim DW, Ahn S (2012) Randomized controlled trial of tamsulosin for prevention of acute voiding difficulty after rectal cancer surgery. World J Surg 36(11):2730–2737

    Article  Google Scholar 

  9. Poylin V, Curran T, Cataldo T, Nagle D (2015) Perioperative use of tamsulosin significantly decreases rates of urinary retention in men undergoing pelvic surgery. Int J Colorectal Dis 30(9):1223–1228

    Article  Google Scholar 

  10. Ghuman A, de Jonge SW, Dryden SD, Feeney T, Buitrago DH, Phang PT (2018) Prophylactic use of alpha-1 adrenergic blocking agents for prevention of postoperative urinary retention: a review & meta-analysis of randomized clinical trials. Am J Surg 215(5):973–979. https://doi.org/10.1016/j.amjsurg.2018.01.015

    Article  PubMed  Google Scholar 

  11. Wu AK, Auerbach AD, Aaronson DS (2012) National incidence and outcomes of postoperative urinary retention in the Surgical Care Improvement Project. Am J Surg 204(2):167–171

    Article  Google Scholar 

  12. Kneist W, Heintz A, Junginger T (2005) Major urinary dysfunction after mesorectal excision for rectal carcinoma. Br J Surg 92(2):230–234

    Article  CAS  Google Scholar 

  13. Mason SE, Scott AJ, Mayer E, Purkayastha S (2016) Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis. Am J Surg 211(6):1126–1134. https://doi.org/10.1016/j.amjsurg.2015.04.021

    Article  PubMed  Google Scholar 

  14. Taylor BC, Wilt TJ, Fink HA, Lambert LC, Marshall LM, Hoffman AR et al (2006) Prevalence, severity, and health correlates of lower urinary tract symptoms among older men: The MrOS study. Urology 68(4):804–809

    Article  Google Scholar 

  15. Patel DN, Felder SI, Luu M, Daskivich TJ, Zaghiyan KN, Fleshner P (2018) Early urinary catheter removal following pelvic colorectal surgery: A prospective, randomized, noninferiority trial. Dis Colon Rectum 61(10):1180–1186

    Article  Google Scholar 

  16. Yoshimura N, Chancellor MB (2003) Neurophysiology of lower urinary tract function and dysfunction. Reviews in urology 5(8):S3–S10

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Division of General Surgery, St. Paul’s Hospital, 1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada

    Amandeep Ghuman, Carl J. Brown, Ahmer A. Karimuddin, Manoj J. Raval & P. Terry Phang

  2. Department of Urologic Sciences, University of British Columbia, Vancouver, Canada

    Mark T. Dawidek

  3. University of British Columbia, Vancouver, Canada

    Manraj S. Athwal & Naomi Kasteel

Authors
  1. Amandeep Ghuman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mark T. Dawidek
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Manraj S. Athwal
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Naomi Kasteel
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Carl J. Brown
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ahmer A. Karimuddin
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Manoj J. Raval
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. P. Terry Phang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Amandeep Ghuman.

Ethics declarations

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This work was a podium/poster presentation at ASCRS Annual Scientific Meeting, Cleveland, Ohio, June 2019 [poster]

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ghuman, A., Dawidek, M.T., Athwal, M.S. et al. Prophylactic tamsulosin and urinary retention rates following elective colorectal surgery: a retrospective cohort study. Int J Colorectal Dis 37, 209–214 (2022). https://doi.org/10.1007/s00384-021-04047-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00384-021-04047-w

Keywords

Search

Navigation