Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Dec;21(6):895-900.
doi: 10.1007/s10029-017-1661-4. Epub 2017 Sep 4.

Postoperative urinary retention after inguinal hernia repair: a single institution experience

A B Blair  1 , A Dwarakanath  2 , A Mehta  2   3 , H Liang  3 , X Hui  3 , C Wyman  4 , J P P Ouanes  4 , H T Nguyen  5   6
Affiliations

Postoperative urinary retention after inguinal hernia repair: a single institution experience

A B Blair et al. Hernia. 2017 Dec.

Abstract

Purpose: Inguinal hernia repair is a common general surgery procedure with low morbidity. However, postoperative urinary retention (PUR) occurs in up to 22% of patients, resulting in further extraneous treatments.This single institution series investigates whether patient comorbidities, surgical approaches, and anesthesia methods are associated with developing PUR after inguinal hernia repairs.

Methods: This is a single institution retrospective review of inguinal hernia from 2012 to 2015. PUR was defined as patients without a postoperative urinary catheter who subsequently required bladder decompression due to an inability to void. Univariate and multivariate logistic regressions were performed to quantify the associations between patient, surgical, and anesthetic factors with PUR. Stratification analysis was conducted at age of 50 years.

Results: 445 patients were included (42.9% laparoscopic and 57.1% open). Overall rate of PUR was 11.2% (12% laparoscopic, 10.6% open, and p = 0.64). In univariate analysis, PUR was significantly associated with patient age >50 and history of benign prostatic hyperplasia (BPH). Risk stratification for age >50 revealed in this cohort a 2.49 times increased PUR risk with lack of intraoperative bladder decompression (p = 0.013).

Conclusions: At our institution, we found that patient age, history of BPH, and bilateral repair were associated with PUR after inguinal hernia repair. No association was found with PUR and laparoscopic vs open approach. Older males may be at higher risk without intraoperative bladder decompression, and therefore, catheter placement should be considered in this population, regardless of surgical approach.

Keywords: Inguinal hernia repair; Laparoscopic hernia repair; Postoperative urinary retention.

PubMed Disclaimer

Conflict of interest statement

Compliance with ethical standards

Conflict of interest AB declares no conflict of interest. AD declares no conflict of interest. AM declares no conflict of interest. HL declares no conflict of interest. XH declares no conflict of interest. CW declares no conflict of interest. JO declares no conflict of interest. HN declares no conflict of interest.

References

    1. Matthews RD, Neumayer L (2008) Inguinal hernia in the 21st century: an evidence-based review. Curr Probl Surg 45(4):261–312 - PubMed
    1. Koch CA, Grinberg GG, Farley DR (2006) Incidence and risk factors for urinary retention after endoscopic hernia repair. Am J Surg 191(3):381–385 - PubMed
    1. Jensen P, Mikkelsen T, Kehlet H (2002) Postherniorrhaphy urinary retention—effect of local, regional, and general anesthesia: a review. Reg Anesth Pain Med 27(6):612–617 - PubMed
    1. Darrah DM, Griebling TL, Silverstein JH (2009) Postoperative urinary retention. Anesthesiol Clin 27(3):465–484 - PubMed
    1. Patel JA et al. (2015) Risk factors for urinary retention after laparoscopic inguinal hernia repairs. Surg Endosc 29(11):3140–3145 - PubMed