Perioperative medicine & outcomes

Increased age and the volume of intraoperative fluid administered predict urinary retention after elective inguinal herniorrhaphy

Perioper Med (Lond)Published Retrospective cohort study

Authors' conclusion

We found that increased age and a greater volume of intraoperative fluid administered were significantly associated with the occurrence of POUR.

Study context

Population
Adults undergoing elective inguinal hernia repair, 2018–2021 (emergent surgery, recurrent hernia, concomitant operations excluded)included in the analysis
Participants
946 adults
Exposure
Postoperative urinary retention (POUR) vs non-POUR
  • POURn = 23
Outcome
Postoperative urinary retention (POUR)
Methodological detailssingle-centre, multivariate regression
  • Single-centre
  • Multivariate regression

Main finding

As reported in the abstract

Independent predictors of POUR (multivariate model)
Odds ratio (95% CI)P value
Increased age
1.04(1.01–1.08)
P = 0.049
Intraoperative fluid volumeper 100-mL increase
1.12(1.01–1.27)
P = 0.047

Per 100-mL increase, as printed

Observational data: associations, not effects.

Further findings

Age (univariate)

P = 0.012

Intraoperative fluid volume (univariate)

P = 0.040

Benign prostate hypertrophy (univariate)

P = 0.025

Incidence of POUR
2.4% · 23

Original publication

Increased age and the volume of intraoperative fluid administered predict urinary retention after elective inguinal herniorrhaphy. Perioper Med (Lond). Published 19 August 2024. doi:10.1186/s13741-024-00446-z

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