OC-040 RETAINER I (RETENTION OF URINE AFTER INGUINAL HERNIA ELECTIVE REPAIR), A PROSPECTIVE, INTERNATIONAL, MULTICENTRE COHORT STUDY Article Swipe
YOU?
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· 2022
· Open Access
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· DOI: https://doi.org/10.1093/bjs/znac308.052
Aim Post-operative urinary retention (POUR) is a recognised complication of inguinal hernia repair (IHR). Reported incidence is variable, and reporting of risk factors, contradictory. We aimed to report the rate, risk factors and impact of POUR post IHR. Methods A prospective international observational study was performed with 4 week data collection from each centre (March-November 2021). Patients undergoing elective open/minimally-invasive IHR were eligible. Exclusion criteria included a urethral catheter at baseline. Preoperative/intraoperative/postoperative variables were analysed and data recorded via REDCap. Multivariate analysis was performed with a primary outcome of development of POUR. Secondary outcomes were risk factors for, and implications of, POUR. Results 4,153 patients (205 centres; 35 countries) were registered. Mean age was 54.7 years (18–95) and BMI 26.5 (16–6). 80.4% (n=3167) were performed open and 17% (n=674) minimally-invasively. The overall rate of POUR was 5.8% (n=225) and increasd >9% in male patients aged >65 years old. Risk factors associated with POUR included: higher preoperative IPSS scores (mean 9.4 vs 5.6 in non-POUR cohort, p<0.001), diagnosis of BPH (p<0.001), pre-operative constipation (p=0.009) defined as no bowel opening for two days pre-operatively and pre-operative post void residual volumes (<0.001). 37% of patients developing POUR required an unplanned hospital admission. Conclusion This study suggests a global POUR rate of approximately 5% following elective IHR and confirm a significant impact of POUR on patients and hospital services. Findings highlight several risk factors and confirm the IPSS score as a potential risk stratification tool.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/bjs/znac308.052
- https://academic.oup.com/bjs/article-pdf/109/Supplement_7/znac308.052/46499365/znac308.052.pdf
- OA Status
- bronze
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4305071428
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4305071428Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/bjs/znac308.052Digital Object Identifier
- Title
-
OC-040 RETAINER I (RETENTION OF URINE AFTER INGUINAL HERNIA ELECTIVE REPAIR), A PROSPECTIVE, INTERNATIONAL, MULTICENTRE COHORT STUDYWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-10-01Full publication date if available
- Authors
-
Stefanie Croghan, A Fullard, Christina FlemingList of authors in order
- Landing page
-
https://doi.org/10.1093/bjs/znac308.052Publisher landing page
- PDF URL
-
https://academic.oup.com/bjs/article-pdf/109/Supplement_7/znac308.052/46499365/znac308.052.pdfDirect link to full text PDF
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-
YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/bjs/article-pdf/109/Supplement_7/znac308.052/46499365/znac308.052.pdfDirect OA link when available
- Concepts
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Medicine, Urinary retention, Inguinal hernia, Constipation, Prospective cohort study, Cohort, Incidence (geometry), Surgery, Cohort study, Body mass index, Hernia, Internal medicine, Optics, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(n=225) | 138 |
| abstract_inverted_index.(n=674) | 129 |
| abstract_inverted_index.Methods | 39 |
| abstract_inverted_index.REDCap. | 80 |
| abstract_inverted_index.Results | 103 |
| abstract_inverted_index.cohort, | 165 |
| abstract_inverted_index.confirm | 215, 232 |
| abstract_inverted_index.defined | 174 |
| abstract_inverted_index.factors | 32, 97, 150, 230 |
| abstract_inverted_index.opening | 178 |
| abstract_inverted_index.outcome | 88 |
| abstract_inverted_index.overall | 132 |
| abstract_inverted_index.primary | 87 |
| abstract_inverted_index.several | 228 |
| abstract_inverted_index.urinary | 3 |
| abstract_inverted_index.volumes | 188 |
| abstract_inverted_index.(n=3167) | 123 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Findings | 226 |
| abstract_inverted_index.Patients | 57 |
| abstract_inverted_index.Reported | 15 |
| abstract_inverted_index.analysed | 75 |
| abstract_inverted_index.analysis | 82 |
| abstract_inverted_index.catheter | 69 |
| abstract_inverted_index.centres; | 107 |
| abstract_inverted_index.criteria | 65 |
| abstract_inverted_index.elective | 59, 212 |
| abstract_inverted_index.factors, | 23 |
| abstract_inverted_index.hospital | 198, 224 |
| abstract_inverted_index.included | 66 |
| abstract_inverted_index.increasd | 140 |
| abstract_inverted_index.inguinal | 11 |
| abstract_inverted_index.non-POUR | 164 |
| abstract_inverted_index.outcomes | 94 |
| abstract_inverted_index.patients | 105, 144, 192, 222 |
| abstract_inverted_index.recorded | 78 |
| abstract_inverted_index.required | 195 |
| abstract_inverted_index.residual | 187 |
| abstract_inverted_index.suggests | 203 |
| abstract_inverted_index.urethral | 68 |
| abstract_inverted_index.(16–6). | 121 |
| abstract_inverted_index.(18–95) | 117 |
| abstract_inverted_index.(p=0.009) | 173 |
| abstract_inverted_index.Exclusion | 64 |
| abstract_inverted_index.Secondary | 93 |
| abstract_inverted_index.baseline. | 71 |
| abstract_inverted_index.diagnosis | 167 |
| abstract_inverted_index.eligible. | 63 |
| abstract_inverted_index.following | 211 |
| abstract_inverted_index.highlight | 227 |
| abstract_inverted_index.incidence | 16 |
| abstract_inverted_index.included: | 154 |
| abstract_inverted_index.performed | 46, 84, 125 |
| abstract_inverted_index.potential | 238 |
| abstract_inverted_index.reporting | 20 |
| abstract_inverted_index.retention | 4 |
| abstract_inverted_index.services. | 225 |
| abstract_inverted_index.unplanned | 197 |
| abstract_inverted_index.variable, | 18 |
| abstract_inverted_index.variables | 73 |
| abstract_inverted_index.&gt;65 | 146 |
| abstract_inverted_index.&gt;9% | 141 |
| abstract_inverted_index.Conclusion | 200 |
| abstract_inverted_index.admission. | 199 |
| abstract_inverted_index.associated | 151 |
| abstract_inverted_index.collection | 51 |
| abstract_inverted_index.countries) | 109 |
| abstract_inverted_index.developing | 193 |
| abstract_inverted_index.recognised | 8 |
| abstract_inverted_index.undergoing | 58 |
| abstract_inverted_index.development | 90 |
| abstract_inverted_index.prospective | 41 |
| abstract_inverted_index.registered. | 111 |
| abstract_inverted_index.significant | 217 |
| abstract_inverted_index.Multivariate | 81 |
| abstract_inverted_index.complication | 9 |
| abstract_inverted_index.constipation | 172 |
| abstract_inverted_index.implications | 100 |
| abstract_inverted_index.preoperative | 156 |
| abstract_inverted_index.approximately | 209 |
| abstract_inverted_index.international | 42 |
| abstract_inverted_index.observational | 43 |
| abstract_inverted_index.pre-operative | 171, 184 |
| abstract_inverted_index.Post-operative | 2 |
| abstract_inverted_index.contradictory. | 24 |
| abstract_inverted_index.stratification | 240 |
| abstract_inverted_index.(March-November | 55 |
| abstract_inverted_index.pre-operatively | 182 |
| abstract_inverted_index.(&lt;0.001). | 189 |
| abstract_inverted_index.p&lt;0.001), | 166 |
| abstract_inverted_index.(p&lt;0.001), | 170 |
| abstract_inverted_index.minimally-invasively. | 130 |
| abstract_inverted_index.open/minimally-invasive | 60 |
| abstract_inverted_index.Preoperative/intraoperative/postoperative | 72 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 3 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/17 |
| sustainable_development_goals[0].score | 0.4099999964237213 |
| sustainable_development_goals[0].display_name | Partnerships for the goals |
| citation_normalized_percentile.value | 0.24939698 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |