Effect of Elective Inguinal Hernia Repair on Urinary Symptoms in Men
Abstract
Background: Urinary symptoms are frequently associated with inguinal hernias and urinary complications occur frequently following repair. Systematic assessment of post-operative urinary symptom burden in patients undergoing elective inguinal hernia repair was not evaluated yet. Therefore, the study was planned to determine the prevalence of urinary symptoms in men undergoing elective inguinal hernia repair.
Methods: This prospective observational study was conducted at the department of surgery in Dhaka Medical College Hospital (DMCH), for 12 months period. Patients with inguinal hernia who were admitted in DMCH were approached and selected in according to the inclusion & exclusion criteria. Before interviewing and before surgical procedure, informed consent was taken from each subject and ethical issues were ensured properly. The researcher did physical examination and assessment of urinary symptoms. Data were collected from a total 100 patients and recorded into a structured questionnaire. Collected data was analyzed by the SPSS 21.
Results: Mean age of the study populations was 60.36 ± 6.87 SD (years) [age range 41-73 years]. About 74% had unilateral inguinal hernia and other 26% had bilateral hernia. Out of 100 patients, 35% patients used perioperative catheter. Only 4% patients had post-operative complications and 2% patients had the history of retention following surgery. The overall median preoperative AUASS score was 6 (range 3 – 28) which increased to 13 (5-33) 48 hours after operation. The increase was statistically significant (p<0.001). The increase in AUASS score noted across all categories of age, BPH, hernia, surgery, anesthesia and surgical technique. During 30 days post-operative follow up, eight patients were lost from follow-up and comparison between preoperative and 30 days post-operative AUASS score showed statistically significant improvement (p<0.001).
Conclusion: Significant improvements of urinary symptoms are seen following elective inguinal hernia repair. However, larger cohort study is needed to finalize the comment.
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References
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