A COMPARATIVE STUDY OF USE OF TAMSULOSIN IN PREVENTION OF POSTOPERATIVE URINARY RETENTION IN PATIENTS OPERATED UNDER SPINAL ANAESTHESIA

Abstract

INTRODUCTION -Urinary retention is one of the most common complications of surgical procedures done under spinal anaesthesia. Postoperative urinary retention (POUR) is a common and potentially serious morbidity. Overall incidence of POUR ranges from 5% to 70%. AIMS AND OBJECTIVES - The aim of this prospective study was to investigate the prophylactic effect of Tamsulosin, a super-selective α-1a adrenergic blocking agent, on the development of urinary retention in patients undergoing elective surgeries under spinal anaesthesia METHOD- This is a randomized control trial done in patients undergoing elective surgery under spinal anaesthesia during this study period of one and half years by taking 80 patients each in Tamsulosin group and control group RESULTS- There was signicantly lower in POUR in Tamsulosin group compared to placebo, independent of the PVR, Prostate size in USG in cc, Pre op uid administered in ml and duration of surgery. CONCLUSION- Prophylactic use of alpha-adrenergic blocker is effective in preventing postoperative urinary retention thereby avoiding the morbidity associated with bladder catheterisation.