Abstract | PURPOSE: METHODS: This is a retrospective review of an institutional colorectal database. All men undergoing pelvic surgery between 2004 and 2013 were included. Patients given 0.4 mg of tamsulosin 3 days prior and after surgery at discretion of surgeon starting in 2007 were compared with patients receiving expectant postoperative management. RESULTS: One hundred eighty-five patients were included in the study (study group: N = 30; control group: N = 155). Study group patients were older (56.8 vs. 50.1 years). Overall urinary retention rate was 22% with significantly lower rates in the study group compared with control (6.7 vs. 25%; p = 0.029). Study group had higher rates of minimally invasive surgery (61 vs. 29.7%); however, this did not impact urinary retention rate (20.6 vs. 22.7% for minimally invasive surgery vs. open surgery; p = 0.85). Independent predictors of urinary retention included lack of preemptive tamsulosin (odds ratio (OR), 7.67; 95% confidence interval (CI), 1.4-41.7) and cancer location in the distal third of the rectum (OR, 18.8; 95% CI, 2.1-172.8). CONCLUSIONS:
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Authors | Vitaliy Poylin, Thomas Curran, Thomas Cataldo, Deborah Nagle |
Journal | International journal of colorectal disease
(Int J Colorectal Dis)
Vol. 30
Issue 9
Pg. 1223-8
(Sep 2015)
ISSN: 1432-1262 [Electronic] Germany |
PMID | 26099320
(Publication Type: Journal Article)
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Chemical References |
- Sulfonamides
- Urological Agents
- Tamsulosin
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Topics |
- Adult
- Aged
- Colitis, Ulcerative
(surgery)
- Colonic Neoplasms
(surgery)
- Humans
- Male
- Middle Aged
- Pelvis
(surgery)
- Perioperative Care
- Postoperative Complications
(prevention & control)
- Rectal Neoplasms
(surgery)
- Retrospective Studies
- Risk Factors
- Sulfonamides
(therapeutic use)
- Tamsulosin
- Urinary Retention
(prevention & control)
- Urological Agents
(therapeutic use)
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