Medical and non-medical interventions for post-operative urinary retention prevention: network meta-analysis and risk-benefit analysis.
Pokket SirisreetreeruxRujira WattanayingcharoenchaiSasivimol RattanasiriOraluck PattanaprateepPawin NumthavajAmmarin ThakkinstianPublished in: Therapeutic advances in urology (2021)
Early ambulation, acupuncture, opioid antagonist agents, alpha-adrenergic antagonists and NSAIDs significantly reduce the incidence of post-operative urinary retention with no difference in adverse events. Regarding the risk-benefit analysis of the medical treatment, alpha-adrenergic antagonists have the highest probability of net benefit at the acceptable threshold of side effect of 15%, followed by opioid antagonist agents, NSAIDs and cholinergic drugs.