Related Experiment Videos
[Inguinal hernia as a sequela of disordered bladder emptying?]
M Jülke1, R Schmid, C Thalmann
1Chirurgische, Abteilung, Spital Limmattal, Schlieren.
Helvetica Chirurgica Acta
|August 1, 1992
Summary
Men over 50 with inguinal hernias do not have more bladder issues than others. Routine bladder screening before hernia surgery is unnecessary, but recommended for all men over 50.
Area of Science:
- Urology
- Geriatric Medicine
- Surgical Patient Assessment
Context:
- Investigating the relationship between inguinal hernias and lower urinary tract symptoms in older men.
- Assessing pre-operative urological status in patients undergoing surgery.
- Evaluating potential risk factors for inguinal hernia development.
Purpose:
- To determine if patients with inguinal hernias exhibit a higher incidence of pathological bladder function compared to a control group.
- To assess the necessity of pre-operative residual urine determination in this patient population.
- To evaluate the prevalence of voiding dysfunction in men over 50.
Summary:
- A study compared 56 hernia patients with 49 controls (all >50 years) using urological screening. No significant differences in bladder function or risk factors were found between groups.
- Surprisingly, over 60% of all men exhibited pathological voiding function (residual urine and/or abnormal flow rate).
- Benign prostatic hypertrophy is questioned as a significant risk factor for inguinal hernias.
Impact:
- Suggests that pre-operative residual urine measurement is not necessary for patients with inguinal hernias.
- Highlights a high prevalence of undiagnosed voiding dysfunction in men over 50.
- Recommends routine urological screening for all men over 50 during hospitalization to identify potential bladder issues.