Bethanechol chloride for the prevention of postoperative urinary retention after anal surgery under spinal anesthesia
- Author:
Uy Billy James G.
;
Yu Blas Anthony M.
;
Torillo Maila Rose L.
;
Romero Don Arlie S.
- Publication Type:Journal Article
- MeSH:
Human;
Adult;
BETHANECHOL;
URINARY RETENTION;
ANESTHESIA, SPINAL
- From:
Philippine Journal of Surgical Specialties
2011;66(2):68-73
- CountryPhilippines
- Language:English
-
Abstract:
Background: Postoperative urinary retention is a commonly encountered problem after anal surgery particularly under spinal anesthesia. Bethanchol chloride, a muscarinic cholinergic receptor agonist was used to determine whether it could prevent this problem.
Methods: One hundred six patients with mean age of 37+ 9 who underwent anal surgery under spinal anesthesia from January to August 2007 were included in this nonblinded randomized prospective experimental study. Forty- six patients were given bethanechol chloride 25mg/tab 1 hour post- op then another dose after 4-6 hours. Those with the urge to void but unable to do so within the hour or had hypogastric pain (VAS > 8) were immediately catheterized and the amount drain recorded.
Conclusion: Although bethanechol chloride did not completely prevent the development of postoperative urinary retention, it use was associated with reduced need for the catheterization.
