Global incidence and risk factors associated with postoperative urinary retention following elective ınguinal hernia repair: The retention of urine after ınguinal hernia elective repair (RETAINER I) study
| Title: | Global incidence and risk factors associated with postoperative urinary retention following elective ınguinal hernia repair: The retention of urine after ınguinal hernia elective repair (RETAINER I) study |
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| Authors: | Croghan S.M.; Mohan H.M.; Breen K.J.; McGovern R.; Bennett K.E.; Boland M.R.; Elhadi M.; Elliott J.A.; Fullard A.C.; Lonergan P.E.; McDermott F.; Mehraj A.; Pata F.; Quinlan D.M.; Winter D.C.; Bolger J.C.; Fleming C.A.; Farinelli P.A.; Alday M.J.A.; Avellaneda N.L.; Goya M.M.; Clementé G.A.; Lopez J.C.; Proud D.; Shulman N.; Huang D.; Jamel W.; Gill S.; Arthur T.; Swindon D.; Frank A.; Teng R.; Chua I.; Chong N.; Hannigan A.; Srinivasan M.; Bastaki A.A.; Ahmad S.; Juma I.; Yang W.; Wang H.; Jiang S.; Naranjo L.E.P.; Dominguez C.M.; Huilca L.F.; Negrete Ocampo J.R.; Nafea A.; Awad A.K.; Elbadawy M.A.; Abdulmonem A.A.; Abdelgalil M.S.; Helmy S.T.; El-Razik S.A.A.; Mabrouk L.R.; Rady A.H.A.; Shaheen A.; Ewedah M.; Farag M.; Tanas Y.; Dean Y.; Ghanem M.; Asla A.F.; Ghatwary A.M.; Elsadek M.A.; Saad A.; Hassan R.A.; Herdan M.O.; Nassar M.A.; Alaa S.; Khamis A.A.; Youssef H.M.S.; El Sherpiny M.A.; Shehata E.S.A.M.; Taha S.A.; Zahran A.A.A.A.; Al-Nagdy M.; Sayed Hafez S.Z.E.; Abo Ghanima S.M.; Farahat S.; Morgan F.M.; Mahfouz S.M.; Elfeki H.; Elghadban H.; Shalaby M.; Shetiwy M.; Mostafa M.; Sakr A.; Elsayed A.; Sadek K.; Eldeghedi M.; Nader M.; Elsaadany R.; Hesham Y.; Attiya O.; Shaaban A.; Sakr Y.; Alharazin M.; Omar M.A.; Alansary M.N.; Ebada M.A. |
| Contributors: | Tıp Fakültesi; Aktaş, Ahmed; 58778257900 |
| Publisher Information: | American Medical Association |
| Publication Year: | 2025 |
| Collection: | Açık Erişim@BUU (Bursa Uludağ Üniversitesi) |
| Description: | Importance: Postoperative 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. Objective: To ascertain the incidence of, explore risk factors for, and determine the health service outcomes of POUR following elective IHR. Design, Setting, and Participants: The 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. Exposure: Open or minimally invasive IHR by any surgical technique, under local, neuraxial regional, or general anesthesia. Main Outcomes and Measures: The 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. Results: In 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 ... |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | JAMA Surgery; https://hdl.handle.net/11452/51474; 865; 873; 158 |
| DOI: | 10.1001/jamasurg.2023.2137 |
| Availability: | https://hdl.handle.net/11452/51474; https://doi.org/10.1001/jamasurg.2023.2137 |
| Rights: | info:eu-repo/semantics/closedAccess |
| Accession Number: | edsbas.834EC363 |
| Database: | BASE |