Postoperative Complications, Postoperative Urinary Retention
Conditions
Brief summary
The goal of this study is to examine the efficacy of acupuncture in the management of acute postoperative urinary retention. Clinical question: Is acupuncture efficacious for postoperative urinary retention after hemorrhoidectomy compared with sham acupuncture and neostigmine. Study design: The participants who undergo hemorrhoidectomy and report postoperative urinary retention will receive one session of acupuncture or sham acupuncture or one injection of 1-mg neostigmine. The primary outcome was the time to first urination after surgery.
Interventions
OTHERAcupuncture
Acupuncture is a technique that inserts a needle into the acupuncture point to treat a condition. In this trial, we will use acupuncture to treat postoperative urinary retention.
OTHERSham acupuncture
Participants will receive sham acupuncture at sham points.
Neostigmine was injected once after postoperative urinary retention.
Sponsors
Chengdu University of Traditional Chinese Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Aged between 18 and 65 years * Meets the diagnostic criteria of postoperative urinary retention * Received milligan-morgan hemorrhoidectomy and general anesthesia
Exclusion criteria
* Received Diuretic drugs * Organic diseases that cause urinary retention * Severe infection in the urinary tract * Has a history of adverse reaction to neostigmine * Cognitive dysfunction that affects outcome assessment * Being pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The time to first urination after surgery | Immediately after first urination | This outcome records the time period from the end of surgery to the immediately first urination. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bladder residual urine volume | 10 minutes before treatment, 0.5, 1, and 2 hours after treatment. | This outcome measures the bladder residual urine volume using the ultrasound measurement. |
| Urination Score | 10 minutes before treatment, 0.5, 1, and 2 hours after treatment. | The urination score ranges from 0 to 4 points. A higher score indicates more difficult to urinate. |
| The volume of first of urination | Immediately after first urination | This outcome measures the total volume of the first urination after surgery. |
| Visual analogue score after surgery | 2 hours after treatment. | The visual analogue score ranges from 0 to 10 cm. A higher score indicates more painful symptoms. |
| Adverse effects | 48 hours after treatment | The adverse events will recorded by the patients and evaluated by the physicians. And the adverse events will be classified into mild and severe. Mild adverse events need no additional medical care. |
| Abdominal symptom score | Before treatment, 0.5, 1, and 2 hours after treatment. | The abdominal symptom score ranges from 0 to 3 points. A higher score indicates worse abdominal symptoms. |
Countries
China
Outcome results
None listed