Koch Cody A, Grinberg Gary G, Farley David R
Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Am J Surg. 2006 Mar;191(3):381-5. doi: 10.1016/j.amjsurg.2005.10.042.
Postoperative urinary retention (PO-UR) frequently complicates the repair of inguinal hernias. The purpose of this study was to determine the incidence of and risk factors for developing PO-UR in patients undergoing endoscopic inguinal hernia repair.
The incidence of PO-UR was determined by a retrospective review of a prospective patient database for all patients undergoing inguinal hernia repair by 1 surgeon from 2001 to 2003 at a tertiary referral center. A case-control study was used to identify risk factors for the development of PO-UR.
Thirty-four (22.2%) out of 153 patients undergoing endoscopic inguinal hernia repair developed PO-UR. The use of narcotic analgesia and the volume of intravenous postoperative fluid administered were significant risk factors (P < .05) for the development of PO-UR.
Postoperative urinary retention is common after totally extraperitoneal and transabdominal preperitoneal inguinal hernia repairs and is associated directly with increased narcotic and postoperative intravenous fluid administration.
术后尿潴留（PO-UR）常使腹股沟疝修补术复杂化。本研究的目的是确定接受内镜腹股沟疝修补术患者发生PO-UR的发生率及危险因素。
通过回顾性分析2001年至2003年在一家三级转诊中心由1名外科医生进行腹股沟疝修补术的所有患者的前瞻性患者数据库，确定PO-UR的发生率。采用病例对照研究来确定发生PO-UR的危险因素。
153例接受内镜腹股沟疝修补术的患者中，34例（22.2%）发生了PO-UR。使用麻醉性镇痛药和术后静脉输液量是发生PO-UR的显著危险因素（P <.05）。
完全腹膜外和经腹腹膜前腹股沟疝修补术后，术后尿潴留很常见，且与麻醉药使用增加和术后静脉输液直接相关。
