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Risk Factors for Postoperative Urinary Retention After Endoscopic Hernia Repair: Age and Unilateral Operation make
S Di Natale1, J Slieker1, S Soppe1
1Department of Surgery, Cantonal Hospital of Baden, Im Ergel 1, 5404, Baden, Switzerland.
World Journal of Surgery
|August 23, 2021
Summary
Postoperative urinary retention (POUR) occurred in 4.1% of patients after endoscopic inguinal hernia repair. Advanced age and unilateral surgery are key risk factors for POUR, necessitating proactive measures to reduce complications and costs.
Area of Science:
- Urology
- Surgical Complications
- Hernia Repair
Background:
- Postoperative urinary retention (POUR) is a frequent complication following inguinal hernia repair.
- POUR can lead to catheter-related infections, extended hospital stays, and increased healthcare expenses.
Purpose of the Study:
- To determine the incidence of POUR after endoscopic total extraperitoneal (TEP) inguinal hernia repair.
- To identify significant risk factors associated with POUR in patients undergoing TEP repair.
Main Methods:
- Retrospective analysis of data from a prospective Hernia Database (July 2012 - May 2018).
- Inclusion of 1570 patients who underwent TEP inguinal hernia repair.
- Definition of POUR as the inability to urinate spontaneously post-surgery, requiring catheterization.
Main Results:
- The overall incidence of POUR was 4.1% (65 out of 1570 patients).
- Univariate analysis identified advanced age (>50 years), higher ASA score, prior prostate surgery, unilateral operation, and drain placement as associated with POUR.
- Multivariate analysis confirmed advanced age and unilateral surgery as independent risk factors for POUR.
Conclusions:
- Advanced age and unilateral inguinal hernia repair are identified as significant risk factors for POUR.
- Identifying at-risk patients is crucial for implementing prophylactic strategies.
- Reducing POUR incidence can decrease readmissions and healthcare costs, especially with the rise of outpatient procedures.
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