Evidence map›Paper›PMID 28871414›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2017

Postoperative urinary retention after inguinal hernia repair: a single institution experience.

A B Blair, A Dwarakanath, A Mehta, H Liang, X Hui, C Wyman, J P P Ouanes, H T Nguyen

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03835351 (Urinary Retention After Laparoscopic Inguinal Hernia Repair), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03835351 nacompletednot on this mapstarted 2019, after this paper: background citation

Urinary Retention After Laparoscopic Inguinal Hernia Repair: A Randomized Controlled Trial Comparing Intraoperative Urinary Catheter Versus no Catheter

TypeinterventionalSponsorThe Cleveland ClinicRan2019 to 2021Enrolled491ConditionsInguinal HerniaArmsUrinary Catheter
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  6. Evaluating the Safety of Empiric Tamsulosin to Prevent Postoperative Urinary Retention in a Colorectal Surgery Recovery Pathway.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

A B BlairDepartment of Surgery, Johns Hopkins Medical Institution, Baltimore, MD, USA.
A DwarakanathSchool of Medicine, Johns Hopkins, Baltimore, MD, USA.
A MehtaSchool of Medicine, Johns Hopkins, Baltimore, MD, USA.
H LiangDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
X HuiDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
C WymanDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
J P P OuanesDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
H T NguyenDepartment of Surgery, Johns Hopkins Medical Institution, Baltimore, MD, USA. hnguye51@jhmi.edu.
Johns Hopkins University · US

Funding

Clinical and Laboratory Research Training for Surgical OncologistsT32CA126607 · NCI · JOHNS HOPKINS UNIVERSITY · PI CAMERON, ANDREW M. · 2008 to 2024
$6.0M
National Institutes of Health (US) 5T32CA126607-08NCI NIH HHS T32 CA126607
6 · The paper itself

Abstract

purposeInguinal hernia repair is a common general surgery procedure with low morbidity. However, postoperative urinary retention (PUR) occurs in up to 22% of patients, resulting in further extraneous treatments.This single institution series investigates whether patient comorbidities, surgical approaches, and anesthesia methods are associated with developing PUR after inguinal hernia repairs.

methodsThis is a single institution retrospective review of inguinal hernia from 2012 to 2015. PUR was defined as patients without a postoperative urinary catheter who subsequently required bladder decompression due to an inability to void. Univariate and multivariate logistic regressions were performed to quantify the associations between patient, surgical, and anesthetic factors with PUR. Stratification analysis was conducted at age of 50 years.

results445 patients were included (42.9% laparoscopic and 57.1% open). Overall rate of PUR was 11.2% (12% laparoscopic, 10.6% open, and p = 0.64). In univariate analysis, PUR was significantly associated with patient age >50 and history of benign prostatic hyperplasia (BPH). Risk stratification for age >50 revealed in this cohort a 2.49 times increased PUR risk with lack of intraoperative bladder decompression (p = 0.013).

conclusionsAt our institution, we found that patient age, history of BPH, and bilateral repair were associated with PUR after inguinal hernia repair. No association was found with PUR and laparoscopic vs open approach. Older males may be at higher risk without intraoperative bladder decompression, and therefore, catheter placement should be considered in this population, regardless of surgical approach.

Indexed as

AgedAge FactorsAnesthesiaFemaleHernia, InguinalHerniorrhaphyHumansLaparoscopyMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsUrinary RetentionInguinal hernia repairLaparoscopic hernia repairPostoperative urinary retention

Identifiers

PMID28871414
PMCPMC6178811
OpenAlexW2750620697

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.