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Urinary Retention After Laparoscopic Inguinal Hernia Repair

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The SAGES Manual of Hernia Repair

Abstract

Postoperative urinary retention can be a serious complication after laparoscopic inguinal hernia repair. With an incidence ranging from 0.2% to 30%, it is a multifaceted problem and may occur as a result of physiologic changes associated with age, gender, pathologic conditions, and alterations of the micturition process via excessive intravenous fluid administration, general anesthesia, and medications to control pain postoperatively. Although the diagnosis of retention can be challenging, identification of retention and treatment with in-out catheterization within 2 h after surgery prevents most long-term problems associated with this condition. Surgeons performing laparoscopic inguinal hernia repair should remain vigilant in considering its diagnosis and remain familiar with the evidence supporting its treatment.

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Author information

Authors and Affiliations

  1. Department of Surgery, Atlanta VAMC and Emory University School of Medicine, Decatur, GA, USA

    David A. McClusky III MD

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  1. David A. McClusky III MD
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Correspondence to David A. McClusky III MD .

Editor information

Editors and Affiliations

  1. , Mount Sinai Medical Center, Mount Sinai School of Medicine, 1010 5th Avenue, New York, 10028, New York, USA

    Brian P. Jacob

  2. Advanced Hernia Solutions, Department of General Surgery, Transformative Care Institute, 1890 Lpga Blvd Suite 250, Daytona Beach, 32117, USA

    Bruce Ramshaw

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McClusky, D.A. (2013). Urinary Retention After Laparoscopic Inguinal Hernia Repair. In: Jacob, B., Ramshaw, B. (eds) The SAGES Manual of Hernia Repair. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4824-2_14

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  • DOI: https://doi.org/10.1007/978-1-4614-4824-2_14

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4823-5

  • Online ISBN: 978-1-4614-4824-2

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