Effect of Tamsulosin in Prevention of Postoperative Urinary Retention: Effect of Tamsulosin on Postoperative Urinary Retention

Faheem Buriro; Javed Altaf; . Ishaque; Imdad Ali; Majid Ali; Mansoor Ali

doi:10.54393/pjhs.v7i5.3704

Authors

Faheem Buriro Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Javed Altaf Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
. Ishaque Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Imdad Ali Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Majid Ali Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Mansoor Ali Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v7i5.3704

Keywords:

Hydration, Tamsulosin, Postoperative Urinary Retention, Post-void Residual, Specific Gravity, Urine

Abstract

Tamsulosin has shown effectiveness in the treatment of lower urinary tract symptoms, especially post-operative urinary retention (POUR). Objectives: To assess the efficacy of tamsulosin in the prevention of POUR and to determine the relationship between POUR incidence and urinary parameters such as urine pH, specific gravity, and color. Methods: This cohort (longitudinal) research was carried out at the Department of Urology, Liaquat University of Health Sciences, Jamshoro, for 6 months (from January 2025 to June 2025) after approval from the IRB. Data collection included baseline demographics, comorbidities, and pre-operative information. At 6, 12, and 24 hours post-operative post-void residual (PVR) was assessed. Analysis of urine was done for measuring urinary pH, color, and specific gravity. SPSS was used for analyzing the data, keeping p<0.05 statistically significant. Results: From 150 post-operative cases, the mean age was 53.5 ± 11.3 years, with around 71 % male. Tamsolusin substantially decreased POUR with a reduction in PVR from 186 ml (6 hours) to 82 ml (24 hours). Incidence of POUR reduced from 24.7 % to 6 %. Cases having POUR showed lower pH of urine, high specific gravity, and dark colored urine. Conclusions: The present study demonstrated that tamsulosin was effective in preventing postoperative urinary retention (POUR) by significantly reducing post-void residual volumes and improving urinary flow within the first 24 hours after surgery.

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