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Korean J Urol Oncol > Volume 7(2); 2009 > Article
The Korean Journal of Urological Oncology 2009;7(2): 95-98.
서혜부탈장 수술 후 급성요폐 예방을 위한 알파차단제의 효과
영일, 이진석, 임성진, 박경서, 조영삼, 주관중, 권칠훈, 박흥재
성균관대학교 의과대학 강북삼성병원 비뇨기과학교실
Effect of Alpha Adrenergic Antagonist in Prevention of Postherniorrhaphy Urinary Retention
Young Il Hahm , Jin Suk Lee , Sung Jin Lim , Kyung Seo Park , Young Sam Cho , Kwan Joong Joo , Chil Hoon Kwon , Heung Jae Park
Department of Urology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea
Published online: August 1, 2009.
ABSTRACT
Purpose:
To evaluate the effect of prophylactic alpha adrenergic antagonist medication in reducing the acute urinary retention in patients undergoing inguinal herniorraphy with spinal anesthesia.
Materials and Methods:
The efficacy of tamsulosin in preventing acute urinary retention after elective inguinal herniorraphy was investigated in 118 patients from January 2007 to March 2008 prospectively. Patients were randomized into two groups. Patients in controlled group were given placebo orally 12 hours before surgery, 12 and 24 hours after surgery. In experimental group, 0.2mg of tamsulosin was given in the same manner of placebo.
Results:
Two of 58 patients (3.44%) in the tamsulosin group and 8 of 60 patients (13.33%) in the placebo group developed acute urinary retention (p<0.05).
Conclusions:
Prophylactic use of tamsulosin after inguinal herniorrhaphy with spinal anesthesia significantly reduced the incidence of acute urinary retention and improved maximal urine flow rate after treatment. (Korean J Urol Oncol 2009;7:95-98)
Key Words: Urinary retention; Tamsulosin; Inguinal hernia; Spinal anesthesia
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