• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Pre-operative Administration of Tamsulosin for Prevention of Post-Operative Urinary Retention in Males Undergoing Elective Inguinal Hernia Repair

Anthony Tabatabai, DO, John Vance, DO, Christopher Ash, DO, Mark Vance, DO, Andrea Goethals, DO, Kimberly Barber, PhD. Genesys Regional Medical Center

Introduction: The current standard of care does not include prophylactic doses of an alpha-adrenergic blocker in preventing post-operative urinary retention among patients undergoing hernia repair. This study aimed to test the efficacy of tamsulosin for preventing post-operative urinary retention among males undergoing elective inguinal hernia repair.  Avoiding post-operative urinary retention may decrease medical costs, hospital admissions, extended recovery observation, and return to emergency room for inability to urinate.

Methods and Procedures: This was a double blind, randomized controlled prospective trial evaluating two preoperative doses of tamsulosin an alpha-adrenergic blocker in preventing post-operative urinary retention (POUR).  Patients were enrolled from January 2017 to September 2018 in a community hospital. Tamsulosin versus placebo medication in males over the age of 30 who have no history of benign prostatic hypertrophy nor who are taking any alpha-adrenergic blocker or 5 alpha reductase blocker for issues of urinary retention were selected.  Patients were undergoing elective laparoscopic, open, or robotic assisted unilateral or bilateral inguinal hernia repair.  They received two doses of 0.4 mg (tamsulosin vs placebo) preoperatively, the night before surgery and the morning of surgery.  POUR was defined as the inability to spontaneously urinate following surgery requiring straight catheterization or placement of a Foley catheter for urinary retention within 72 hours of surgery. Post-operative catheterization rates were compared for significance at p< 0.05 with Chi square analysis.

Results: A total of 210 patients were enrolled into the study.  Of them 193 (92%) completed taking the drug as directed and having an inguinal hernia repair. Patients were randomly assigned to either the tamsulosin group (110 or 57%) or the placebo group (83 or 43%). A total of 16 (8.3%) patients had urinary retention.  The tamsulosin group had 4 (4.8%) retentions and the placebo group had 12 (11%). This was a 42% relative decrease for the treatment group (p=0.10). Procedures were further subdivided by technique, 105 (54%) Robotic assisted, 64 (33%) open, and 24 (12%) laparoscopic.  Among 105 robotic procedures, there was a relative difference of 52% in retention rates between groups [3 (6.7%) tamsulosin, 8 (13.3%) placebo, p=0.13].

Conclusion: Though it did not reach statistical significance, a clinically meaningful difference was observed in the rates of retention between the two groups. This large difference was supported among those with robotic assisted procedures and suggests that prophylaxis with a selective alpha 1-A adrenergic receptor antagonist may prevent urinary retention following hernia surgery. 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 94283

Program Number: P603

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

946

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2019 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons