Global Incidence and Risk Factors Associated With Postoperative Urinary Retention Following Elective Inguinal Hernia Repair
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Published:2023-08-01
Issue:8
Volume:158
Page:865
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ISSN:2168-6254
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Container-title:JAMA Surgery
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language:en
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Short-container-title:JAMA Surg
Author:
Croghan Stefanie M.1, Mohan Helen M.12, Breen Kieran J.3, McGovern Ruth4, Bennett Kathleen E.5, Boland Michael R.6, Elhadi Muhammed7, Elliott Jessie A.8, Fullard Anna C.9, Lonergan Peter E.1011, McDermott Frank12, Mehraj Asif13, Pata Francesco1415, Quinlan David M.3, Winter Des C.16, Bolger Jarlath C.17, Fleming Christina A.9, Farinelli Pablo Alberto18, Alaniz Alday Maria Jimena18, Avellaneda Nicolás L.18, Goya María M.18, Clementé Gastón A.18, Lopez Juan Cruz18, Proud David18, Shulman Natassia18, Huang Dora18, Jamel Wael18, Gill Sonia18, Arthur Thomas18, Swindon Daisy18, Frank Amy18, Teng Roy18, Chua Irene18, Chong Nicole18, Hannigan Amy18, Srinivasan Madhu18, Al Bastaki Aysha18, Ahmad Sharifa18, Juma Isam18, Yang Wah18, Wang Huaxi18, Jiang Shuwen18, Lincango Naranjo Eddy P18, Dominguez Carla M18, Huilca Luis F18, Negrete Ocampo Jose R18, Nafea Ahmed18, Awad Ahmed K.18, Elbadawy Merihan A.18, Abdulmonem Aya Abdulilah18, Abdelgalil Mahmoud Shaban18, Helmy Salma Tarek18, Abd El-razik Sally Ahmed18, Mabrouk Laila Raafat18, A.Rady Ahmed Hassan18, Shaheen Ahmed18, Ewedah Moataz18, Farag Marina18, Tanas Yousef18, Dean Yomna18, Ghanem Maha18, Asla Amir F.18, Ghatwary Ahmed M.18, Elsadek Menan A.18, Saad Aalaa18, Hassan Ramy A.18, Herdan Mohamed O.18, Nassar Mahmoud A.18, Alaa Sherif18, Khamis Areej A.18, Youssef Hadeer M.S.18, El Sherpiny Mohamed A.18, Shehata Eslam S.A.M.18, Taha Sandy A.18, Zahran Ahmed A.A.A18, Al-Nagdy Mohamed18, Sayed Hafez Somaya Z.E18, Abo Ghanima Shymaa M.18, Farahat Sherif18, Morgan Fatma M.18, Mahfouz Shaimaa M.18, Elfeki Hossam18, Elghadban Hosam18, Shalaby Mostafa18, Shetiwy Mohamed18, Mostafa Mohamed18, Sakr Ahmad18, Elsayed Ahmed18, Sadek Kareem18, Eldeghedi Maher18, Nader Mohamed18, Elsaadany Reem18, Hesham Yousef18, Attiya Omar18, Shaaban Abdelrahman18, Sakr Yara18, Alharazin Mohammed18, Omar Mohammed A.18, Alansary Marwa N.18, Ebada Mahmoud A.18, Abdelfattah Mohamed S.18, El-Taher Ahmed K.18, Ghaith Hazem S.18, Abdelhaleem Ibrahim A.18, Fayed Notaila M.18, Fayed Laila18, Mahmoud Mohamed K.18, Mohamed Esraa E.18, El-Deeb Amr M.18, Mohamed Islam M.18, El kady Abd Elrahman S.18, Abd Al-Fattah Mohammed18, Hassaan Mohamad18, Hegazy Mohammed G.18, Asla Amir Fathi18, Fradelos Evangelos18, Korkolis Dimitrios18, Kavalieratos George18, Manatakis Dimitrios K.18, Tasis Nikolaos18, Ioannidis Argyrios18, Konstantinidis Michael18, Konstantinidou Sofia18, Koukoulis Georgios18, Kalfountzos Christos18, Bouliaris Konstantinos18, Schizas Dimitrios18, Machairas Nikolaos18, Kykalos Stylianos18, Vailas Michail18, Syllaios Athanasios18, Dorovinis Panagiotis18, Kozadinos Alexandros18, Bouchagier Konstantinos18, Mulita Francesk18, Skroubis Georgios18, Maroulis Ioannis18, Chatzimavroudis Grigorios18, Kotoreni Georgia18, Sountoulides Petros18, Agalianos Christos18, Antonopoulou Maria Ioanna18, Ladoukakis Aristeidis18, Nikolouzakis Taxiarchis K.18, Lasithiotakis Konstantinos18, Chrysos Emmanuel18, Xenaki Sofia18, Baili Efstratia18, Liakakos Theodore18, Charalabopoulos Alexandros18, Al-Juaifari Maytham A.18, Zwain Yasir A.18, Himi Ahmed A.18, Aldawoody Hogir I.R.18, Balasubramanian Ishwarya18, Hill Arnold D.K.18, Robb William B.18, Aketch Martin Safari18, Brady Aaron M.J.18, O' Leary Peter D.18, Elliott Jessie A.18, Davis Niall F.18, Creavin Ben18, Ridgway Paul F.18, Barry Kevin18, Kelly Orlaith18, Raftery Nicola18, Davey Matthew G.18, McLaughlin Ray P.18, Joyce William P.18, Meldon Aengus18, Fullard Anna18, Nugent Emmeline18, Dhannoon Amenah18, Carroll Paul18, O'Brien Stephen J.18, Andrews Emmet18, Foley Niamh M.18, Killeen Shane18, Hechtl Daniel18, O'Riordain Michael18, Conneely John B.18, Hardy Niall P.18, McInerney Niall J.18, Kearns Emma C.18, Shanahan Ben18, Kennedy Czara18, Toomey Desmond18, Mansoor Shabhaz18, Ryan Eanna18, Johnston Sean M.18, Lim Sean T.18, Ahonkhai Irele Ifijeh18, Eltagani Eltahir18, Ryan Odhran K.18, Earley Helen18, Garvin Joseph18, Iruthayanathar Andru Nitharasan18, Clancy Cillian18, Fahey Brian18, Rashid Haroon18, McCormick Paul18, Reynolds Ian S.18, Garrahy Darragh18, Bean Orlagh18, Conlon Eoin18, Winter Des C.18, Molony Emily18, Martin Sean T.18, Hoti Emir18, Stafford Anthony T.18, Hanly Ann18, Maguire Donal18, Ng Kin Cheung18, Wong Benjamin Ngie Xiong18, McCormack Tom18, Chan Kin Yik18, Peirce Colin18, Coffey Calvin18, Nabi Nauman18, Jacob Prem Thomas18, Dillon Patrick18, Ahmad Abrar18, Neary Peter18, Ryan Jessica M.18, Connelly Tara M.18, Cooke Fiachra18, McCullough Peter W.18, Pellino Gianluca18, Selvaggi Lucio18, Selvaggi Francesco18, Gallo Gaetano18, Pata Francesco18, Riboni Cristiana18, Danzi Michele18, De Luca Marcello18, Lionetti Ruggero18, Grimaldi Luciano18, Corcione Francesco18, Manigrasso Michele18, Milone Marco18, De Palma Giovanni Domenico18, Biancafarina Alessia18, Mariottini Valentina18, De Prizio Marco18, Solaini Leonardo18, Cavaliere Davide18, Vigutto Gabriele18, Castaldi Antonio18, Palumbo Alessio18, Antropoli Carmine18, Ripetti Valter18, Luffarelli Paolo18, Capolupo Gabriella T.18, Caricato Marco18, Carannante Filippo18, Grassia Michele18, Lucchi Andrea18, Schimera Antonio18, Palomba Giuseppe18, Aprea Giovanni18, Feo Carlo V.18, Fabbri Nicolò18, Torchiaro Marco18, Mazza Marcodomenico18, De Marco Paolino18, Bagaglini Giulia18, Grande Michele18, Lapolla Pierfrancesco18, Mingoli Andrea18, Brachini Gioia18, Pipitone Federico Nicoletta Sveva18, Calabrò Marcello18, Murgese Alessandra18, Aiolfi Alberto18, Mini Emanuele18, Bona Davide18, Patrone Renato18, Nasto Aurelio18, Pertile Davide18, Scabini Stefano18, Soriero Domenico18, Massobrio Andrea18, Deiana Selene18, Carganico Giacomo18, Montuori Mauro18, Pinotti Enrico18, Carrara Giulia18, Lisi Giorgio18, Spoletini Domenico18, Menditto Rosa18, Pace Marco18, Petrucciani Niccolò18, Nigri Giuseppe18, Sasia Diego18, Girardi Martina18, Giraudo Giorgio18, Andreuccetti Jacopo18, Rossi Stefano18, Scorsi Alessandro18, Puccioni Caterina18, Picardi Biagio18, Anastasi Alessandro18, Borreca Riccardo18, Adinolfi Elvira18, Canonico Giuseppe18, Nelli Tommaso18, Carmignani Francesco18, Baldini Edoardo18, Boccia Olivia18, Kersik Alessia18, Fleres Francesco18, Clarizia Guglielmo18, Longhini Alessandro18, Mariani Nicolo18, Balla Andrea18, Lepiane Pasquale18, Petrocca Sergio18, Ranucci Maria Chiara18, Morelli Luca18, Di Franco Gregorio18, Porcelli Francesco18, Guadagni Simone18, Furbetta Niccolò18, Romanzi Andrea18, Milanesi Maria18, Vignati Barbara18, Vannelli Alberto18, Scolaro Roberta18, Putortì Antonella18, Khamees Almu'atasim18, Almasarweh Sami A.18, Guboug Ali18, Abu-Ismail Luai18, Al-Shami Khayry18, Awadi Sajeda18, Haij Manal Zain Mohammed18, Alrayes Bourhan M.H.18, Al-Kubaisy Manolia18, Rashdan Mohammad18, Abufaraj Mohammad18, Mansour Hanan18, Toubasi Ahmad A.18, Azzam Muayad18, Al-Aydi Tala18, Bsisu Isam18, Khrais Oweiss18, Bani Hani Mohammad18, Daradkeh Hamza18, Jamous Hussam18, Dardour Mohammad18, Msameh Renad18, Alasawdeh Hadeel18, Shumrakh Saeed K.18, Oqdeh Yahya F.18, AL Hamoud Mohammad A.18, Abuleil Amro18, Ababneh Hazim Sameer Mohammad18, Elhadi Muhammed18, Hasan Wisam A.18, Ali Ebrahim M.18, Khalil El Sharif F.18, Abaidalla Ahmed Faraj18, Il Haddad Haifaa18, Amnaina Mohamed G.18, Alabd Husayn M.18, Bahroun Sumayyah G.18, Younes Eman18, Al Sagheir Eman18, Ali Ali18, Khamaj Malak18, Ashfersh Mohamed18, Ekhmaj Reyad18, Abuzeid Issa A.18, Albaraesi Mohammed N.18, Taktuk Salah S.18, Aldressi Wafa18, Eltaeb Khalid F.18, Gomaty Jamal M.18, Bakeer Hibah Bileid18, Alkaseek Akram Mohammed18, Alarabi Rehab18, Gjam Fatima Z.18, Elhajdawe Fras A.D.18, Shuayb Ahlam M.18, Egdeer Amin18, Almugaddami Ayman18, Abdulwahed Eman A.18, Ghmagh Reem18, Alshareea Entisar18, Gidiem Doaa18, Askar Aamal18, Aljamal Sarah18, Deeknah Abdulqudus18, Biala Marwa18, Barka Sharf18, Kamour Khaula18, Alameen Hind18, Abozid Anwaar18, Alsori Mohamed18, Kanna Sanad18, Elgadi Tahani18, Naana Reyam18, Marwan Abdulrhman18, Omar Osama18, Teoh Jeremy Y.C.18, Ahmed Fathil Ida Nadiah18, Adwin Zainal Z.18, Elshami Mohamedraed18, Alvarez-Lozada Luis Adrian18, Durán-Castro Daniela G.18, de la O-Escamilla Manuel E.18, Arrambide-Garza Francisco J.18, Muñoz-Maldonado Gerardo E.18, Quiroga-Garza Alejandro18, El Azzazi Hind18, El Assaad Yousra18, Mrissa Yassine18, Koukou Mouad18, Varghese Chris18, Alqassab Mohammed K.18, Barnes Tracey18, Thompson-Fawcett Mark W.18, McGuinness Matthew18, Mitchell Josh18, Grinlinton Megan18, Auchterlonie Rowan18, Hasiata Vilingatoni18, Harmston Christopher18, Allen-Brough Chelsea18, Siggins Lauren18, Weeratunga George18, Lin Anthony18, Xu William18, Cook Holly18, Ghamri Nusr18, Joseph Nejo18, Zheng Helen18, Ratnayake Milidu V.B.18, Bissett Ian P.18, Adeyeye Ademola Adetoyese18, Olayinka Mohammed Taofiq18, Alfa Yakubu18, Daniyan Muhammad18, Tolani Musliu Adetola18, Bashir Muhammed18, Musa Keffi Mubarak18, Omon Henry Ehidiamen18, Balogun Simon Adewale18, Anele Christopher Obinna18, Adesunkanmi Abdul Hafiz O.18, Ajekwu Samuel Chibuzo18, Afeikhena Ehis18, Egbuchulem Ifeanyichukwu Kelvin18, Constantine Ezeme18, Olagunju Naomi18, Ikechukwu Ulasi Bartholomew18, Fakoya Adegbolahan18, Ogundoyin Olakoyode O18, Waqar Usama18, Ukrani Ronika Devi18, Mansoor Maheen18, Asghar Tofique18, Jamaluddin Muhammad18, Zahid Muhammad18, Ali Farjad18, Chawla Tabish18, Aamir Faiqa B.18, Tahir Izza18, Farhan Emaan18, Dar Kamran H.18, Saeed Abdullah B.18, Shahbaz Usama18, Alozai Muhammad Ilyas18, Akram Muhammad U.18, Haider Sohaib18, Hai Arrham18, Ahmed Shaheer18, Hussain Akbar18, Durrani Ahmed M.18, Arbi Fawad M.18, Khaliq Fatima18, Abubakr Muhammad18, Khalid Noor18, Khalid Rizwan18, Iqbal Aqsa18, Javed Arwa18, Akhtar Hamza18, Malik Bilal M.18, Khan Hashim18, Butt Adam U.A.18, Malik Abdur R.18, Malick Daniya S.18, Asif Aiza18, Khan Muhammad Sarfraz18, Anwar Muhammad Idrees18, Yaqoob Sadia18, Jarullah Furqan A.18, Umer Farooq18, Jamil Soomal18, Zarin Mohammad18, Khan Adel18, Alam Mansoor18, Shafi Mahnoor18, Fakhar Samra18, Ayaz Ali Amrat18, Dal Nawaz A.18, Shams Marvi18, Laghari Sundas18, Kumar Yash18, ul Haq Syed Atif18, Abdullah Areeba18, Ur Rehman Sheeraz18, Javed Farhan18, Ali Wasaq18, Ahmad Shahzaib18, Joshi Prabesh18, Sarwar Muhammad Zeeshan18, Naqi Syed Asghar18, Daula Muhammad I.H.18, Ijaz Muhammad Tayyab18, Fazal Talha bin18, Javaid Amna18, Rajput Akram18, Masroor Layiba18, Shahab Tooba18, Yaqub Aimen18, Zahid Sufian M.18, Jabbar Naveed18, Javeed Muhammad Hassan18, Karim Muhammad Qaisar18, Jamal Muhammad Asad18, Fazal Mishaal18, Hameed Fahd Mudassar18, Bakhtiar Mahnoor18, Akhtar Aamena18, Khan Zartaj A.18, Rehman Kiran18, Khan Rehan A.18, Farooqui Fareeha18, Aimon Sibgha18, Marjan Iqra18, Al-Saba'a Yousef K.18, Alkahlout Dana M.18, Amer Fatima M.18, Mostafa Omar18, Naim Deema Sami18, Manasra Mahmoud18, Giacaman Yazan18, Zawahra Aya18, Erman Myyas N.18, Abu Reyash Tamara K.18, Shami Sarah M.18, Awwad Amjad H.18, Abu-Arish Hamdoon18, Y. Aljabarein Osama18, Alkomi Saja18, Dweik Raghad18, Atatra Khalil O.18, Yasin Fawzi Hesham18, Saad Reem J.18, Khader Abdellatif18, Hussein Reema A.18, Helles Ameer A.18, Ismail Ruba S.18, Abu Jayyab Mustafa A.18, Hasson Mohammad18, Povo Ana18, Silva Cláudio18, Ginestal Mariana18, Negoi Ionut18, Negoita Valentina M.18, Talpai Tamás18, Pîrvu Cătălin-Alexandru18, Pantea Stelian18, Menzulin Ruslan18, Yanishev Alexey18, Bazaev Andrey18, Chubukova Natalia18, Bagrjancev Maxim18, Ryabkov Maxim18, Abelevich Alexander18, Novikova Anastastia18, Saeed Reham J.M.18, El-Mansoury Tarek M.18, Khogaly Amer M.A.18, Galun Danijel18, Zivanovic Marko18, Serrano-Navidad Monica18, Landaluce-Olavarria Aitor18, Estraviz- Mateos Begoña18, Sainz-Lete Aitor18, Gonzalez-De Miguel Melania18, Zevallos-Quiroz Julio18, Vázquez-Melero Alba18, Sánchez-Rubio María18, Herrero López Imanol18, García López de Goicoechea David18, Camuera González Maite18, Helguera Martínez Pablo18, Balluerca Alba María18, Paunero Vázquez Patricia18, Soeda Seminario Isami18, Mendoza Moreno Fernando18, Matías-García Belén18, Alvarado-Hurtado Ricardo18, Soto-Schütte Sonia18, Alberich Prats Marta18, Madrazo González Zoilo18, López Borao Jaime18, Sueiras Gil Albert18, Martin Santos Silvia18, Gil Barrionuevo Marta18, Rodriguez-Leon Gerardo18, Vallet Fernandez Josep18, Ortiz Rodriguez Carles18, Hevia Falú Ramiro18, Gil Gomez Vicente18, Biel Arrufat Alex18, Alberca Páramo Ana18, Antonaya Rubia Eva18, Rodríguez Cano María A.18, Ruíz Frías Piedad18, Gortázar de las Casas Sara18, Del Castillo Díez Federico18, Guevara Martínez Jenny18, Prieto La Noire Fernando18, Chavarrías Torija Nuria18, Valderrabano Gonzalez Santiago18, Heras Garceau María18, Otero de Pablos Jaime18, Ramos Bonilla Antonio18, Enjuto Martínez Diego T.18, Rodríguez Gómez Lorena18, Diaz Peña Patricia18, Gonzalez Guerreiro Judit18, Cervera Celdrán Iria18, Cagigal Ortega Elima18, García Domínguez Antonio18, Alvarez Cuiñas Ana18, Soldevila-Verdeguer Carla18, Fernández-Vega Laura18, Pagès-Valle Naila18, Coello-González Alejandro18, Colás-Ruiz Enrique18, Alwis Weerakkodige Mithun Chamindaka18, Karunarathne Rathnayake Mudhiyanselage Dulanee18, Bandara Ginimal Bandaralage Kavinda Deshapriya18, Rodrigo Vitharanage Srimantha Dewsiri18, Jayarajah Umesh18, Abdulhamid Salaheddin M.18, Almokdad Fares Kh.18, Senhuri Alrayah E.18, Abdullah Weaam M.18, Abdelwahid Elharith H.18, Idris Alhaj O.18, Galal-Eldin Sami18, Hamid Hytham K.S.18, Mohammed Alaa M.E.18, Ibrahim Ahmed M.18, Ahmed Samar G.18, Osman Osama S.18, El Tahier Abdalla Omer Mohammad18, Toum Fthelrahman M.18, Mohammed Sabir Fatima18, Yaghoub Ali Abdulhafiz18, Abdelmageed Abdelfatah A.18, Khalafalla Ashraf18, Hassan Luden Saif Aldawla18, Mahmoud Mai D.18, Salih Mugahid A.18, Hamdan Alaa18, Mohammad Mazen18, Al Shareeda Mohamad18, Otaky Mohammad Baraa18, Nashed Ali18, Zayat Hussein18, Aloulou Mohammad18, Alsmail Mohamed H.18, Sawas Fatima18, Alghareeb Rafah18, Kudra Danial Aghyad18, Abdullah Mohammad A.18, Krad Khaled18, Masri Ruqaya18, Alannaz Omar18, Halwani M.Yasser18, Ghannam Mohammad Maen18, Kazzaz Ranim18, Tammo Shergal18, Ghazal Ahmad18, Alabad Madian18, Alhasan Hasan18, Alhaj Ahmad18, Aljaber Ahmad18, Jarkas Bakri T.18, Olaisheh Habib18, Hassan Bassam18, Kayali Ahmad Amir H.18, Nasani Mohannad18, Kayali Hasan F.18, Alahmad Ziad18, Arnaout Khaled18, Laila Aya A.N.18, Zalf Kamal18, Hasson Hussain18, Apelian Shant N.18, Makhluf Hawazen A.18, Ibraheem Fadwa F.18, Arnaout Ahmad Y.18, Ibrahim Hamza18, Sharifa Mohammad18, Nastah Samer18, Zayat Mohammed A.18, Tarky Alhashash Ahmad18, Konaizeh Dani S.18, Rostum Zuhair18, Ahmad Hasan Y.18, Aliskander Fater18, Saad Ahmad18, Isik Arda18, Memis Ufuk18, Salih Saniye18, Saracoglu Kemal Tolga18, Hokenek Ummahan Dalkilinc18, Tatar Ozan Can18, Shah Syed Faraz Ali18, Cantürk Nuh Zafer18, Şahin Enes18, Güler Sertaç Ata18, Şimşek Turgay18, Guldogan Cem E.18, Gundogdu Emre18, Ozmen Mahir M.18, Uprak Tevfik Kıvılcım18, Can Şahin Melike Zeynep18, Demirli Atici Semra18, Teker Kenan18, Aktas Ahmed18, Latif Javed18, McDermott Frank18, Lederhuber Hans18, Kantola Venla18, Muse Samantha18, Jaralla Nasir18, Roy Dorina18, McCoubrey Alison18, Botes Azel18, Booth Alexander18, Edgerton Colston18, Al-Eryani Fatima18, Al-Naggar Hamza18, Al-Eryani Salwa18, AL-Wajeeh Ghadeer18, Abotaleb Khadega18, Al-Shehari Mohammed18, Shream Sarah18, Alsayadi Ramzi18, Alemad Shada18, Alshaikh Bushra Hussein18, Al-Dhaheri Manal Jamal18, Al-Hajj Al-Fakih Wadhah Ahmed18, Telha Khaled A.18, AlQatta Wail M.18, Telha Ghassan K.18, Güner Ali18,
Affiliation:
1. Irish Surgical Research Collaborative, Royal College of Surgeons, Dublin, Ireland 2. Department of Colorectal Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia 3. Department of Urology, St Vincent’s University Hospital, Dublin, Ireland 4. Department of Anaesthesia, Cork University Hospital, Cork, Ireland 5. Data Science Centre, Royal College of Surgeons in Ireland University of Medicine and Health Sciences, Dublin, Ireland 6. Department of Breast Surgery, St Mary’s Hospital, London, United Kingdom 7. Faculty of Medicine, University of Tripoli (Tripoli University Hospital) Furnaj, Tripoli, Libya 8. Department of Upper Gastrointestinal and General Surgery, St James’s Hospital, Dublin, Ireland 9. Department of General and Colorectal Surgery, University Hospital Limerick, Limerick, Ireland 10. Department of Urology, St James’s Hospital, Dublin, Ireland 11. Department of Surgery, Trinity College, Dublin, Ireland 12. Department of Colorectal Surgery, Royal Devon and Exeter NHS Foundation Trust, Exeter, United Kingdom 13. Government Medical College, Srinagar, India 14. Department of Surgery, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy 15. Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Rende, Italy 16. Department of Colorectal and General Surgery, St Vincent’s Hospital, Dublin, Ireland 17. Division of Thoracic Surgery, University Health Network, Toronto, Ontario, Canada 18. for the RETAINER I Study Group of the Irish Surgical Research Collaborative
Abstract
ImportancePostoperative urinary retention (POUR) is a well-recognized complication of inguinal hernia repair (IHR). A variable incidence of POUR has previously been reported in this context, and contradictory evidence surrounds potential risk factors.ObjectiveTo ascertain the incidence of, explore risk factors for, and determine the health service outcomes of POUR following elective IHR.Design, Setting, and ParticipantsThe Retention of Urine After Inguinal Hernia Elective Repair (RETAINER I) study, an international, prospective cohort study, recruited participants between March 1 and October 31, 2021. This study was conducted across 209 centers in 32 countries in a consecutive sample of adult patients undergoing elective IHR.ExposureOpen or minimally invasive IHR by any surgical technique, under local, neuraxial regional, or general anesthesia.Main Outcomes and MeasuresThe primary outcome was the incidence of POUR following elective IHR. Secondary outcomes were perioperative risk factors, management, clinical consequences, and health service outcomes of POUR. A preoperative International Prostate Symptom Score was measured in male patients.ResultsIn total, 4151 patients (3882 male and 269 female; median [IQR] age, 56 [43-68] years) were studied. Inguinal hernia repair was commenced via an open surgical approach in 82.2% of patients (n = 3414) and minimally invasive surgery in 17.8% (n = 737). The primary form of anesthesia was general in 40.9% of patients (n = 1696), neuraxial regional in 45.8% (n = 1902), and local in 10.7% (n = 446). Postoperative urinary retention occurred in 5.8% of male patients (n = 224), 2.97% of female patients (n = 8), and 9.5% (119 of 1252) of male patients aged 65 years or older. Risk factors for POUR after adjusted analyses included increasing age, anticholinergic medication, history of urinary retention, constipation, out-of-hours surgery, involvement of urinary bladder within the hernia, temporary intraoperative urethral catheterization, and increasing operative duration. Postoperative urinary retention was the primary reason for 27.8% of unplanned day-case surgery admissions (n = 74) and 51.8% of 30-day readmissions (n = 72).ConclusionsThe findings of this cohort study suggest that 1 in 17 male patients, 1 in 11 male patients aged 65 years or older, and 1 in 34 female patients may develop POUR following IHR. These findings could inform preoperative patient counseling. In addition, awareness of modifiable risk factors may help to identify patients at increased risk of POUR who may benefit from perioperative risk mitigation strategies.
Publisher
American Medical Association (AMA)
Cited by
4 articles.
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