Intraoperative Catheter not useful for Urinary Retention After Hernia Repair: study

Results:

• Of the 491 patients enrolled, 241 were randomized to catheter placement, and 250 were randomized to no catheter placement.
• The median (IQR) age was 61 (51-68) years, and 465 participants (94.7%) were male.
• Overall, 44 patients (9.1%) developed PUR. There was no difference in the rate of PUR between the catheter and no-catheter groups
• There were no intraoperative bladder injuries. In the catheter group, there was 1 incident of postoperative urethral trauma in a patient who presented to the emergency department with PUR leading to suprapubic catheter placement.

Thus, Intraoperative urinary catheters did not reduce the risk of PUR after laparoscopic inguinal hernia repair. While their use did not appear to be associated with a high rate of iatrogenic complications, there may be a low rate of catastrophic complications. In patients who voided urine preoperatively, catheter placement did not appear to confer any advantage and thus their use may be reconsidered.

Reference:

Fafaj A, et al "Effect of intraoperative urinary catheter use on postoperative urinary retention after laparoscopic inguinal hernia repair: a randomized clinical trial" JAMA Surg 2022:

DOI: 10.1001/jamasurg.2022.2205.

Keywords:

Fafaj A, Effect, intraoperative, urinary, catheter, use, postoperative, urinary, retention, laparoscopic inguinal, hernia, repair, randomized, clinical trial, JAMA Surgery, Emanuele Lo Menzo, Diya Alaedeen,