Our hypothesis is that patients receiving preoperative Tamsulosin will have decrease rates of postoperative urinary retention (POUR) after surgery in females for pelvic floor disorders.
This study is a prospective randomized control trial. Patients undergoing pelvic surgery will randomized into two groups. The study group will receive one oral dose of .4mg of Tamsulosin preoperatively.The control group will receive one placebo pill preoperatively. Success or failure of initial voiding trial in postoperative period will be measured. Patients who fail the voiding trial will be discharged home with Foley catheter as is standard protocol at our institution.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
100
Tamsulosin given preoperatively to detect if rates of urinary retention after female pelvic floor surgeries are decreased
Placebo pill given preoperatively
Cleveland Clinic Florida
Weston, Florida, United States
Tamsulosin Effect
Assess the effect of Tamsulosin in preventing POUR, defined by failure of initial voiding trial postoperatively.
Time frame: Up to 4 hours after surgery while patient is in post-anesthesia care unit.
Postoperative Narcotic Use
Amount of postoperative narcotic use will be tracked to assess if increased narcotic use has an effect on postoperative voiding trial (The amount of narctoic use will be measured in milligrams)
Time frame: Up to 4 hours after surgery while patient is in post-anesthesia care unit.
Effect of Tamsulosin on postoperative blood pressure
A side effect of Tamsulosin in hypotension, therefore, postoperative blood pressure will be evaluated to see if Tamsulosin had a significant impact on blood pressure
Time frame: Up to 4 hours after surgery while patient is in post-anesthesia care unit
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