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Indian Journal of Anesthesia and Analgesia

Volume  5, Issue 11, November 2018, Pages 1812-1816
 

Original Article

Tamsulosin Reduces Incidence of Post Operative Urinary Retention Post Spinal Anaesthesia: A Pilot Study

Singh Dara1, Syal Kartik2, Ram Jassa3, Verma Kumar Rajesh4, Kumar Ramesh5, Goyal Avinash

1,2,5Associate Professor 3Resident 4Assistant Professor 6Senior Resident, Department of Anaesthesia, Indira Gandhi Medical College, Shimla, Himachal Pradesh 171001, India

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.51118.6

Abstract

  Introduction: One of the most common post­operative complaints after spinal anaesthesia is post­operative urinary retention (POUR). The prophylactic effect of tamsulosin in reducing POUR in post spinal anaesthesia has not been investigated in a large scale; therefore the present pilot study was conducted to investigate the efficacy of tamsulosin compared with placebo in preventing POUR before undertaking larger study. Material and Methods: After obtaining the approval from ethical justification committee of Indira Gandhi Medical College and associated hospitals, Shimla 50 patients of ASA I and ASA II aged 20­60 years of either sex posted for lower limb /lower abdominal surgery under spinal anaesthesia were included in the study. Patients were randomised into two groups of single dose of 0.4 mg Tamsulosin and placebo. Conclusion: It was found that single dose of Tamsulosin decreases the incidence of POUR in patients post spinal anaesthesia.


Keywords : Urinary Retention; Catheterisation; Alpha 1a Adrenergic Receptor Antagonist.
Corresponding Author : Syal Kartik, Associate Professor, Department of Anaesthesia, Indira Gandhi Medical College, Shimla, Himachal Pradesh 171001, India.