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RMJ. 2015; 40(1): 84-87


Use of diclofenac sodium post Milligan-Morgan hemorrhoidectomy reduces the risk of post-operative urinary retention

Muhammad Taha Junaid Khan, Summaya Saeed, Aun Ali, Muhammad Asif Qureshi, Shams Nadeem Alam.

Abstract
Objective: To investigate the effects of a single dose of diclofenac-sodium suppository on urinary retention in patients undergoing Milligan-Morgan-hemorrhoidectomy.
Methodology: A total of 186 patients with 3rd and 4th degree hemorrhoids undergoing Milligan-Morgan-hemorrhoidectomy were recruited in the study. All were randomly assigned into group-A or group-B with a total of 93 patients in each group. Rectal diclofenac-sodium suppository (100mg) was given to group-B, whereas group-A was given a placebo at the end of Milligan-Morgan hemorrhoidectomy. Frequency of urinary retention was determined in first 24 hours postoperatively. Data were analyzed using SPSS version 16 and Minitab.
Results: Mean age of the patients was 35.83+11.16 years. 153 (82.3%) patients were males whereas 33 (17.7%) were females, with male to female ratio being 4.6:1. In group A, urinary retention was recorded in 15 patients (16.1%), while in group B, 5 patients (5.4%) developed urinary retention (p=0.03).
Conclusion: Placement of rectal diclofenac suppository at the end of hemorrhoidectomy was effective in reducing urinary retention.

Key words: Urinary retention, diclofenac-sodium, Milligan-Morgan-hemorrhoidectomy



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