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

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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.

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Acknowledgments

I express my sincere thanks to my all professors and unit chiefs specially Dr. Mohan kumar, Dr. Bhaskaran, Dr. Shashirekha, Dr. Prakash Dave for their guidance and help me in reviewing my study. I express my sincere thanks to all my consultants Dr. Pramod T, Dr. Amal Abraham, Dr. Praveen GP, Dr. Vikranth SN, Dr. Asadulla Baig, Dr. Pavan B K, Dr. Srinivasan D, Dr. Naveed Khan, Dr.Ravikiran HR, Dr. Raghupathi, Dr. Sukanya, Dr. Prakash, Dr. Akarsh, Dr. Varma, and Dr. Padmalakshmi of Department of General Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, for their support and encouragement. I express my sincere thanks to all my Senior PGs, co- PGs and my Junior PGs for their support and encouragement in conducting this study. 

I am also thankful to staff nurses of Sri Devaraj Urs Medical College, Tamaka, Kolar, their support and encouragement during this work.

I give my sincere thanks to Dr. Mahesh of Sri Devaraj Urs Medical College, Tamaka, Kolar, for his statistical work.

I am much thankful to my parents Sri Jagannath Reddy and Smt. Vijayalakshmi for their love, blessing, and invaluable help, my brother Mr. Pradeep Reddy, my uncle B Sanjeeva Reddy, Ashok Reddy, Nanreddy, my aunt Ananthalakshmi, my cousin Vijay Reddy, and other family members for their unconditional love and constant encouragement and their support in my life.

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Authors and Affiliations

  1. Belagavi Institute of Medical Sciences, Belagavi, India

    Sandeep Reddy

  2. Department of General Surgery, SDUMC, Tamaka, Kolar, India

    Sandeep Reddy, K Krishnaprasad., Sreeramulu. P.N & R Deepthi

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  1. Sandeep Reddy
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  2. K Krishnaprasad.
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  3. Sreeramulu. P.N
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  4. R Deepthi
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Correspondence to Sandeep Reddy.

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The study was approved by the ethical committee of the institution.

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Reddy, S., K, K., P.N, S. et al. Study on the Efficacy of Tamsulosin in Prevention of Post-operative Urinary Retention in Patients Undergoing Hemorrhoidectomy. Indian J Surg 83, 1388–1393 (2021). https://doi.org/10.1007/s12262-020-02658-1

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  • DOI: https://doi.org/10.1007/s12262-020-02658-1

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