腹腔鏡疝氣修補術術後尿滯留的危險因子

鄭鼎耀¹、林祖鋒²、陳浩維³、蔡家騏⁴、陳建志¹

馬偕紀念醫院 ¹泌尿科，³醫學教育部，⁴外科部；²新北市立聯合醫院 泌尿科

Risk Factors for Postoperative Urinary Retention following Laparoscopic Herniorrhaphy

Ting-Yao Cheng¹, Tsu-Feng Lin², Hao-Wei Chen³, Chia-Chi Tsai⁴, Marcelo Chen¹

Department of Urology¹, Medical Education³, Surgery⁴, MacKay Memorial Hospital, Taipei, Taiwan; Department of Urology, New Taipei City Hospital, New Taipei City, Taiwan²

Purpose:

Postoperative urinary retention (POUR) is a common complication following laparoscopic hernia repair leading to lengthened hospital stays, decreased patient satisfaction and increased overall costs. Our aim was to determine the incidence of POUR after laparoscopic total extraperitoneal (TEP) inguinal hernia repair and identify its risk factors.

Materials and Methods:

A retrospective chart review of patients who underwent a laparoscopic TEP inguinal hernia repair at our institution between January 2020 and December 2022. POUR is defined as difficulty voiding requiring intermittent or indwelling catheterization after surgery. Univariate and multivariate analyses were performed on perioperative variables and interested urodynamic profile to conclude their correlation with POUR.

Results:

A total of 619 male patients who underwent laparoscopic TEP herniorrhaphy for inguinal hernia were included. Eight-three patients developed POUR, which was an incidence of 13.4%. In the univariate analysis, patients with advanced age, BPH history, 3D or TiO2 mesh placement, greater estimated blood loss, prolong operative duration are prone to POUR. After multivariate adjustment, advanced age (OR=2.9, P<0.001) and BPH history (OR=1.03, P=0.023) remained risk factors for POUR.

Conclusion:

Following laparoscopic TEP inguinal hernia repair, male patients with advanced age and a history of BPH were more likely to develop POUR.