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Urinary Retention After Laparoscopic Inguinal Hernia Repair

  • David A. McCluskyIIIEmail author
Chapter

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.

Keywords

Postoperative urinary retention Perioperative complications Laparoscopic inguinal hernia repair Laparoscopic totally extraperitoneal inguinal hernia repair Laparoscopic transabdominal preperitoneal inguinal hernia repair 

References

  1. 1.
    Hinman F. Postoperative overdistention of the bladder. Editorial. Surg Gynecol Obstet. 1976;142:901–2.PubMedGoogle Scholar
  2. 2.
    Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg. 1988;75:1141–3.PubMedCrossRefGoogle Scholar
  3. 3.
    Gönüllü NN, Dülger M, Utkan NZ, Cantürk NZ, Alponat A. Prevention of postherniorrhaphy urinary retention with prazosin. Am Surg. 1999;65:55–8.PubMedGoogle Scholar
  4. 4.
    Eklund A, Rudberg C, Smedberg S, et al. Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair. Br J Surg. 2006;93:1060–8.PubMedCrossRefGoogle Scholar
  5. 5.
    Johansson B, Hallerbäck B, Glise H, Anesten B, Smedberg S, Román J. Laparoscopic mesh versus open preperitoneal mesh versus conventional technique for inguinal hernia repair: a randomized multicenter trial (SCUR hernia repair study). Ann Surg. 1999;230:225–31.PubMedCrossRefGoogle Scholar
  6. 6.
    MRC Laparoscopic Groin Hernia Trial Group. Laparoscopic versus open repair of groin hernia: a randomised comparison. Lancet. 1999;354:185–90.CrossRefGoogle Scholar
  7. 7.
    Neumayer L, Giobbie-Hurder A, Jonasson O, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004;350:1819–27.PubMedCrossRefGoogle Scholar
  8. 8.
    Aeberhard P, Klaiber C, Meyenberg A, Osterwalder A, Tschudi J. Prospective audit of laparoscopic totally extraperitoneal inguinal hernia repair. Surg Endosc. 1999;13:1115–20.PubMedCrossRefGoogle Scholar
  9. 9.
    Dulucq J-L, Wintringer P, Mahajna A. Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3,100 hernia repairs over 15 years. Surg Endosc. 2009;23:482–6.PubMedCrossRefGoogle Scholar
  10. 10.
    Kapiris S, Brough W, Royston C, O’Boyle C, Sedman P. Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. Surg Endosc. 2001;15:972–5.PubMedCrossRefGoogle Scholar
  11. 11.
    Swadia ND. Laparoscopic totally extra-peritoneal inguinal hernia repair: 9 year’s experience. Hernia. 2011;15:273–9.PubMedCrossRefGoogle Scholar
  12. 12.
    Tammela T, Kontturi M, Lukkarinen O. Postoperative urinary retention. I. Incidence and predisposing factors. Scand J Urol Nephrol. 1986;20:197–201.PubMedCrossRefGoogle Scholar
  13. 13.
    Prasad M, Abcarian H. Urinary retention following operations for benign anorectal diseases. Dis Colon Rectum. 1978;21:490–2.PubMedCrossRefGoogle Scholar
  14. 14.
    Zaheer S, Reilly W, Pemberton J, Ilstrup D. Urinary retention after operations for benign anorectal diseases. Dis Colon Rectum. 1998;41:696–704.PubMedCrossRefGoogle Scholar
  15. 15.
    Baldini G, Bagry H, Aprikian A, Carli F. Postoperative urinary retention: anesthetic and perioperative considerations. Anesthesiology. 2009;110:1139–57.PubMedCrossRefGoogle Scholar
  16. 16.
    Keita H, Diouf E, Brouwer T, Dahmani S, Mantz J, Desmonts J. Predictive factors of early postoperative urinary retention in the postanesthesia care unit. Anesth Analg. 2005;101:592–6.PubMedCrossRefGoogle Scholar
  17. 17.
    Petros J, Rimm E, Robillard R, Argy O. Factors influencing postoperative urinary retention in patients undergoing elective inguinal herniorrhaphy. Am J Surg. 1991;161:431–3.PubMedCrossRefGoogle Scholar
  18. 18.
    Lau H, Patil N, Yuen W, Lee F. Urinary retention following endoscopic totally extraperitoneal inguinal hernioplasty. Surg Endosc. 2002;16:1547–50.PubMedCrossRefGoogle Scholar
  19. 19.
    Toyonaga T, Matsushima M, Sogawa N, et al. Postoperative urinary retention after surgery for benign anorectal disease: potential risk factors and strategy for prevention. Int J Colorectal Dis. 2006;21:676–82.PubMedCrossRefGoogle Scholar
  20. 20.
    Koch CA, Grinberg GG, Farley DR. Incidence and risk factors for urinary retention after endoscopic hernia repair. Am J Surg. 2006;191:381–5.PubMedCrossRefGoogle Scholar
  21. 21.
    Fitzgibbons RJ, Camps J, Cornet DA, Nguyen NX, Litke BS, Annibali R. Laparoscopic inguinal herniorrhaphy: results of a multicenter trial. Ann Surg. 1995;221:3–13.PubMedCrossRefGoogle Scholar
  22. 22.
    Gong K, Zhang N, Lu Y, et al. Comparison of the open tension-free mesh-plug, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial. Surg Endosc. 2011;25:234–9.PubMedCrossRefGoogle Scholar
  23. 23.
    Pokorny H, Klingler A, Schmid T, et al. Recurrence and complications after laparoscopic versus open inguinal hernia repair: results of a prospective randomized multicenter trial. Hernia. 2008;12:385–9.PubMedCrossRefGoogle Scholar
  24. 24.
    Winslow ER, Quasebarth M, Brunt LM. Perioperative outcomes and complications of open vs laparoscopic extraperitoneal inguinal hernia repair in a mature surgical practice. Surg Endosc. 2004;18:221–7.PubMedCrossRefGoogle Scholar
  25. 25.
    Pavlin DJ, Pavlin EG, Fitzgibbon DR, Koerschgen ME, Plitt TM. Management of bladder function after outpatient surgery. Anesthesiology. 1999;91:42–50.PubMedCrossRefGoogle Scholar
  26. 26.
    Petros J, Bradley T. Factors influencing postoperative urinary retention in patients undergoing surgery for benign anorectal disease. Am J Surg. 1990;159:374–6.PubMedCrossRefGoogle Scholar
  27. 27.
    Kozol R, Mason K. Post-herniorrhaphy urinary retention: a randomized prospective study. J Surg Res. 1992;52:111–2.PubMedCrossRefGoogle Scholar
  28. 28.
    Ramshaw B, Shuler F, Jones H, et al. Laparoscopic inguinal hernia repair: lessons learned after 1224 consecutive cases. Surg Endosc. 2001;15:50–4.PubMedCrossRefGoogle Scholar
  29. 29.
    Griffiths C, Murray A, Ramsden P. Accuracy and repeatability of bladder volume measurement using ultrasonic imaging. J Urol. 1986;136:808–12.PubMedGoogle Scholar
  30. 30.
    Pavlin D, Pavlin E, Gunn H, Taraday J, Koerschgen M. Voiding in patients managed with or without ultrasound monitoring of bladder volume after outpatient surgery. Anesth Analg. 1999;89:90–7.PubMedGoogle Scholar
  31. 31.
    Rosseland L, Stubhaug A, Breivik H. Detecting postoperative urinary retention with an ultrasound scanner. Acta Anaesthesiol Scand. 2002;46:279–82.PubMedCrossRefGoogle Scholar
  32. 32.
    Kitada S, Wein A, Kato K, Liven R. Effect of acute complete obstruction in the rabbit urinary bladder. J Urol. 1989;141:166–9.PubMedGoogle Scholar
  33. 33.
    Lau H, Lam B. Management of postoperative urinary retention: a randomized trial of in-out versus overnight catheterization. ANZ J Surg. 2004;74:658–61.PubMedCrossRefGoogle Scholar
  34. 34.
    Wright D, Kennedy A, Baxter J, Fullarton G. Early outcome after open versus extraperitoneal endoscopic tension-free hernioplasty: a randomized clinical trial. Surgery. 1996;119:552–7.PubMedCrossRefGoogle Scholar
  35. 35.
    Liem M, Graaf Y, van Steensel C, et al. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal hernia repair. Surv Anesthesiol. 1997;41:369.CrossRefGoogle Scholar
  36. 36.
    Wellwood J, Sculpher M, Stoker D, et al. Randomised controlled trial of laparoscopic versus open mesh repair for inguinal hernia: outcome and cost. BMJ (Clinical research ed). 1998;317:103.CrossRefGoogle Scholar
  37. 37.
    Andersson B, Hallén M, Leveau P, Bergenfelz A, Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: a prospective randomized controlled trial. Surgery. 2003;133:464–72.PubMedCrossRefGoogle Scholar
  38. 38.
    Bringman S, Ramel S, Heikkinen T, Englund T, Westman B, Anderberg B. Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial. Ann Surg. 2003;237:142.PubMedCrossRefGoogle Scholar
  39. 39.
    Langeveld HR, Van’t Riet M, Weidema WF, et al. Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial). Ann Surg. 2010;251:819–24.PubMedCrossRefGoogle Scholar
  40. 40.
    Ramshaw B, Tucker J, Duncan T, et al. Technical considerations of the different approaches to laparoscopic herniorrhaphy: an analysis of 500 cases. Am Surg. 1996;62:69–72.PubMedGoogle Scholar
  41. 41.
    Moreno-Egea A, Aguayo J, Canteras M. Intraoperative and postoperative complications of totally extraperitoneal laparoscopic inguinal hernioplasty. Surg Laparosc Endosc Percutan Tech. 2000;10:30–3.PubMedGoogle Scholar
  42. 42.
    Garg P, Rajagopal M, Varghese V, Ismail M. Laparoscopic total extraperitoneal inguinal hernia repair with nonfixation of the mesh for 1,692 hernias. Surg Endosc. 2009;23:1241–5.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of SurgeryAtlanta VAMC and Emory University School of MedicineDecaturUSA

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