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BACKGROUND: Conventional hemorrhoidectomy leads to a high urinary retention rate and fluid restriction is commonly recommended to minimize complications. However, the need for postoperative fluid restriction among patients who have undergone stapled hemorrhoidopexy is unclear. We aimed to determine whether fluid restriction after stapled hemorrhoidopexy with/without partial external hemorrhoidectomy could reduce urinary retention and postoperative pain.
PATIENTS AND METHODS: In this prospective, double-blinded, randomized controlled trial, we enrolled patients who had grade III or IV hemorrhoids and underwent stapled hemorrhoidopexy with/without partial external hemorrhoidectomy; 250 mL/12 h of sterile 0.9% saline was administered to the fluid restriction group after the operation, and 1000 mL/12 h was given to the non-fluid-restriction group. We focused on the need for fluid restriction after stapled hemorrhoidopexy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fluid restriction | Experimental | Within 12 h of surgery, the experimental group received 1000 mL 0.9% sterile saline intravenously. |
|
| Non-fluid restriction | Placebo Comparator | Within 12 h of surgery, the control group received 250 mL 0.9% sterile saline intravenously |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 1000 mL 0.9% sterile saline | Drug | Within 12 h of surgery, the experimental group received 1000 mL 0.9% sterile saline intravenously. |
|
| Measure | Description | Time Frame |
|---|---|---|
| first urination | the time to first urination after surgery | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tri-Service General Hospital, National Defense Medical Center | Taipei | Taiwan |
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| ID | Term |
|---|---|
| D016055 | Urinary Retention |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| 250 mL 0.9% sterile saline | Drug | Within 12 h of surgery, the control group received 250 mL 0.9% sterile saline intravenously. |
|
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |