Older men who use drugs to treat urinary retention may be at higher risk for complications following cataract surgery, according to a new study published in The Journal of the American Medical Association. The researchers reported that men who use tamsulosin hydrochloride are more than twice as likely to develop serious complications following cataract surgery than those who do not take the medication.

Tamsulosin hydrochloride treats urinary problems caused by an enlarged prostate by relaxing prostate and bladder smooth muscle tissue, allowing urine to be more easily expelled. But the study found that the medication also relaxes the smooth muscle in the eye’s iris. This can lead to iris detachment and swelling of the eye, causing complications during surgery.

Patients who had taken tamsulosin hydrochloride within two weeks of the date of cataract surgery were at the highest risk for complications. Patients who had taken the drug in the past, but not within 14 days of the operation, were significantly less likely to experience adverse events following surgery.

Nearly three quarters of men have enlarged prostates that effect urination by the time they are 70 years old. Tamsulosin hydrochloride is a commonly prescribed treatment for the condition. However, many older males also develop cataracts for which surgical intervention is recommended. To avoid complications during surgery, the researchers recommend patients tell their doctors about any urinary medications they are currently using.

To talk to other patients with enlarged prostates, contribute to the Healia Prostate Diseases Online Health Community and Support Group. Visit the Healia Cataracts Online Health Community and Support Group to share your cataract story.


_{Photo: Piddy77, Flickr, Creative Commons}