Effect of Inguinal Hernia Repair on Uroflowmetric Parameteres

Study Overview
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Brief Summary
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Post operative acute urinary retension or voiding dysfunction are complications after inguinal hernia repair and they cause a great deal of discomfort and stress to patients. Furthermore, they can also increase hospital costs by increasing hospital stay, and by growing the need for outpatient appointments after an elective surgical procedure. Some studies recommend prophylactic alpha blockers to minimizing these adverse effects. Investigators aimed to determine the changes of uroflowmetric values for male patients following elective inguinal hernia repair.

Detailed Description
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Inguinal hernia repair is a common procedure performed in general surgery, with an annual rate of 28 per 100,000 of the population in the USA. The incidence of post operative inability voiding in males following open or laparoscopic inguinal hernia repair varies from 3 to 25%. Evaluating risk factors to reduce the occurence of this complications after one of the most commonly performed surgery by general surgeons could help reduce that high rate of that complication. Although some authors recommend prophylactic alpha blockers, there is no consensus on whether these can decrease rate of urinary retention or voiding dysfunction in male patients. In current study, investigators aimed to determinate the uroflowmetric parametric changes of patients after elective inguinal hernia repair.

Official Title
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Does the Inguinal Hernia Repair Affect Uroflowmetric Values? A Prospective Controlled Clinical Trial.

Conditions
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Inguinal Hernia, Urinary Retention, Lower Urinary Tract Symptoms

Intervention / Treatment
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* Procedure: Inguinal hernia repair


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: any type of inguinal hernia Exclusion Criteria: active urinary tract infection, previous BPH, neurological disease or significant systemic disease, medications that could interfere voiding function history of prostate, bladder or urethral surgery or traumatic urethral catheterisation.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The patients who underwent elective open or laparoscopic inguinal hernia repair were treated by a single general surgeon.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Study group<br>The patients underwent elective open or laparoscopic inguinal hernia repair at a general surgery clinic. | Procedure: Inguinal hernia repair<br>* Lichtenstein procedure or laparoscopic method (Total extraperitoneal) inguinal hernia repair<br>|
| No Intervention: Control group<br>patients who were admitted to the outpatient clinics with various diseases or healthy persons | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with undergoes inguinal hernia repair -related voiding dysfunction as assessed by uroflowmetry | Maximum and average flow rate (ml/sn) were determinated on post-operative day 1 | 3 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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complication, uroflowmetry