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Post-herniorrhaphy urinary retention: a randomized prospective study.

R A Kozol1, K Mason, K McGee

  • 1VA Medical Center, Allen Park, Michigan 48101.

The Journal of Surgical Research
|February 1, 1992
PubMed
Summary
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Fluid restriction may reduce urinary retention after inguinal herniorrhaphy. While not statistically significant, the study suggests limiting intravenous fluids could be beneficial for surgical recovery, with age over 60 being a potential risk factor.

Area of Science:

  • Urology
  • Surgical Complications
  • Anesthesiology

Background:

  • Urinary retention is a recognized complication following inguinal herniorrhaphy.
  • Vigorous intravenous fluid administration is suspected to contribute to post-herniorrhaphy bladder distension and retention.

Purpose of the Study:

  • To investigate the hypothesis that restricting intravenous fluid administration can decrease the incidence of urinary retention after inguinal herniorrhaphy.

Main Methods:

  • A study involving 113 male patients undergoing inguinal herniorrhaphy between January 1989 and March 1991.
  • Group I (60 patients) received unlimited intravenous fluids (mean 1294 ml).
  • Group II (53 patients) received 500 ml or less of intravenous fluids per protocol (mean 485 ml).

Related Experiment Videos

Main Results:

  • Urinary retention occurred in 15% of patients receiving unlimited fluids (9/60).
  • Urinary retention occurred in 9% of patients receiving restricted fluids (5/53).
  • Age over 60 years emerged as a potential risk factor, approaching statistical significance.

Conclusions:

  • Fluid restriction demonstrated a trend towards lowering the incidence of urinary retention post-herniorrhaphy.
  • The observed difference in retention rates between fluid restriction and unlimited fluid groups did not achieve statistical significance.
  • Further investigation into age as a risk factor for postoperative urinary retention is warranted.