Cochrane · systematic review · CD006744

The role of alpha blockers prior to removal of urethral catheter for acute urinary retention in men

Fisher, E, Subramonian, K, Omar, MI · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
3
No studies
3
Included studies
NR
No studies 3 · 50%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 16.7%Moderate 2 · 33.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Alpha blocker versus placebo or control for acute urinary retention in adult men

Population: acute urinary retention in adult men
6 questions
OutcomeEffectEvidenceStatus / GRADE
Ability to void spontaneously after TWOC without the need for re‐catheterisation
Alpha blocker vs placebo or control
RR 1.55 [1.36, 1.76]9 studies · 1044 participantsModerate
Downgraded: risk of bias, imprecision, publication bias
Incidence of recurrent urinary retention
Alpha blocker vs placebo or control
RR 0.69 [0.6, 0.79]8 studies · 1023 participantsModerate
Downgraded: risk of bias, imprecision, publication bias
Need for prostatic surgery ‐ not reported
Alpha blocker vs placebo or control
no estimate extractedNRNo studies
Condition‐specific QoL ‐ not reported
Alpha blocker vs placebo or control
no estimate extractedNRNo studies
Cost effectiveness ‐ not reported
Alpha blocker vs placebo or control
no estimate extractedNRNo studies
Number with adverse effects
Alpha blocker vs placebo or control
RR 1.2 [0.74, 1.95]4 studies · 657 participantsLow
Downgraded: publication bias