Status:

UNKNOWN

Study to Prevent Postoperative Urinary Retention

Lead Sponsor:

Antonio Nocito, MD

Conditions:

Urinary Retention

Inguinal Hernia

Eligibility:

MALE

60+ years

Phase:

PHASE4

Brief Summary

Post-operative urinary retention (POUR) is a common complication after inguinal hernia repair with a reported incidence up 34%. It can be described as the inability to initiate urination or properly e...

Detailed Description

In this RCT subjects are randomly and parallel assigned to one of two groups: one (the experimental group) receiving "Tamsulosin 0.4 mg"/ day, 5 days prior to the day of laparoscopic inguinal hernia r...

Eligibility Criteria

Inclusion

  • Males
  • ≥60 years old
  • Planned uni- or bilateral endoscopic total extraperitoneal inguinal hernia repair
  • Surgery scheduled more than 6 days from the time of consent
  • Informed Consent as documented by signature (Appendix Informed Consent Form)

Exclusion

  • Orthostatic hypotension (feeling of dizziness after getting up from a sitting or lying position)
  • Severe liver disease (Child Pugh C)
  • Taking strong inhibitors of CYP3A4 (ketoconazole, itraconazole, clarithromycin, ritonavir, indinavir/ritonavir, lopinavir, or conivaptan)
  • Being on alpha-blockers (alfuzosin, doxazosin, prazosin, terazosin, tamsulosin, phenoxybenzamine, or silodosin) or a combination product containing alpha-blocker (duodart)
  • History of allergy or sensitivity to tamsulosin or other alpha-blockers (alfuzosin, doxazosin, prazosin, terazosin, or phenoxybenzamine)
  • Long term Indwelling urinary or suprapubic catheter
  • Status post cystectomy
  • Inability to provide informed consent
  • Known or suspected non-compliance, drug or alcohol abuse,
  • Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant,
  • Participation in another study with investigational drug within the 30 days preceding and during the present study,
  • Previous enrolment into the current study

Key Trial Info

Start Date :

November 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2025

Estimated Enrollment :

634 Patients enrolled

Trial Details

Trial ID

NCT04491526

Start Date

November 1 2020

End Date

June 30 2025

Last Update

March 10 2023

Active Locations (1)

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Kantonsspital Baden

Baden, Canton of Aargau, Switzerland, 5404