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Effect of elective inguinal hernia repair on urinary symptom burden in men AMERICAN JOURNAL OF SURGERY Reed, R. D., Poston, T. L., Kerby, J. D., Richman, J. S., Colli, J. L., Hawn, M. T. 2014; 208 (2): 180-186

Abstract

Our study sought to examine the prevalence of urinary symptoms in men undergoing hernia repair and whether there is an association between symptoms and short-term outcomes.This is a prospective cohort study of male veterans consenting to inguinal hernia repair. The American Urological Association Symptom Score (AUASS) was administered preoperatively at 48 hours and again at 30 days after surgery.Median preoperative AUASS was 6 (interquartile range [IQR]: 3 to 12); at 48 hours, the median score increased significantly to 10 (IQR: 4 to 16, P < .01) and at 30 days, the median score dropped below baseline to 3 (IQR: 1 to 8, P < .0001). Multivariable linear regression modeling revealed that the use of an intraoperative urinary catheter was significantly associated with an increase in AUASS from preop to both 48 hours and 30 days.Elective repair of an inguinal hernia is associated with reduction in urinary symptom burden at 30 days, whereas the use of an intraoperative foley catheter is associated with no improvement at 30 days.

View details for DOI 10.1016/j.amjsurg.2014.02.004

View details for Web of Science ID 000341149400005

View details for PubMedID 24815528