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Nationwide Analysis of Urinary Retention Following Inguinal Hernia Repair: Results from the National Prospective Hernia Registry

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Abstract

Background

Urinary retention is one of the most common early postoperative complications following inguinal hernia repair (IHR). The aim of this study was to assess the incidence of postoperative urinary retention (POUR) and to identify associated risk factors.

Method

Data of consecutive patients undergoing IHR from 2011 to 2017 were collected from a national multicenter cohort. POUR was defined as the inability to void requiring urinary catheterization. A multivariate analysis was conducted to identify independent risk factors for POUR.

Results

Of 13,736 patients, 109 (0.8%) developed POUR. Patients with POUR had longer hospital length of stay (p < 0.001). IHR was performed by a laparoscopic or an open approach in 7012 (51.3%) and 6655 (48.7%) patients, respectively, and spinal anesthesia was realized in 591 (4.3%) patients. Ambulatory surgery was performed in 10,466 (76.6%) patients. Multivariate analysis identified preoperative dysuria (0R 3.73, p < 0.001), diabetes mellitus (OR 1.98, p = 0.029) and spinal anesthesia (OR 7.56, p < 0.001) as independent preoperative risk factors associated with POUR. POUR was the cause of ambulatory failure in 35 (10.2%) patients who required unanticipated admission.

Conclusion

The incidence of POUR following IHR remains low but impacts hospitalization settings. Preoperative risk factors for POUR should be considered for the choice of the anesthetic technique.

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Author information

Authors and Affiliations

  1. Clinique de Chirurgie Digestive et Endocrinienne (CCDE), Institut des Maladies de l’Appareil Digestif (IMAD), University Hospital of Nantes, 1, Place Alexis Ricordeau, 44093, Nantes, France

    Farouk Drissi & Emilie Duchalais

  2. Unité de Chirurgie Viscérale et Digestive, Hôpital Privé ďAntony, 1, Rue Velpeau, 92160, Antony, France

    Jean-François Gillion

  3. Department of Anesthesiology and Critical Care, University Hospital of Nantes, 1, Place Alexis Ricordeau, 44093, Nantes, France

    Antoine Roquilly

  4. Service de Chirurgie Urologique, Centre Clinical, 2 Chemin de Frégeneuil, CS 42510, Soyaux, Angoulême Cedex, 16025, France

    François Luyckx

Authors
  1. Farouk Drissi
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  2. Jean-François Gillion
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  3. Antoine Roquilly
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  4. François Luyckx
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  5. Emilie Duchalais
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For Club Hernie

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Correspondence to Farouk Drissi.

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All the authors declare that they have no conflict of interest in relation with this study.

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Drissi, F., Gillion, JF., Roquilly, A. et al. Nationwide Analysis of Urinary Retention Following Inguinal Hernia Repair: Results from the National Prospective Hernia Registry. World J Surg 44, 2638–2646 (2020). https://doi.org/10.1007/s00268-020-05538-7

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  • DOI: https://doi.org/10.1007/s00268-020-05538-7

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