Elderly men on anticholinergic medication more prone to develop urinary Retention Post Inguinal Hernia Repair: JAMA
A recent study published in the Journal of American Medical Association investigated the incidence and risk factors for postoperative urinary retention (POUR) following inguinal hernia repair (IHR). The study, known as RETAINER I, included a consecutive sample of adult patients undergoing elective IHR across 209 centers in 32 countries.
The findings of the study showed that POUR occurred in approximately 5.8% of male patients and 2.97% of female patients who underwent IHR. Notably, the incidence of POUR was significantly higher in male patients aged 65 years or older, affecting 9.5% of this population.
Several risk factors were identified through adjusted analyses. These included increasing age, the use of anticholinergic medication, history of urinary retention, constipation, out-of-hours surgery, involvement of the urinary bladder within the hernia, temporary intraoperative urethral catheterization, and longer operative duration. These findings highlight the importance of considering these factors during preoperative assessments and patient counseling.
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