Clinical trial NCT03450811: Effect of Inguinal Hernia Repair on Uroflowmetric Parameteres
Official title: Does the Inguinal Hernia Repair Affect Uroflowmetric Values? A Prospective Controlled Clinical Trial.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Inguinal Hernia
Urinary Retention
Lower Urinary Tract Symptoms
Keywords: complication
uroflowmetry
Lead sponsor: Ankara Training and Research Hospital
Sponsor class: OTHER
Collaborators: name: Ministry of Health, Turkey
First posted: 2018-03-01
Enrollment: 120
Sex: MALE
Minimum age (years): 20
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The patients who underwent elective open or laparoscopic inguinal hernia repair were treated by a single general surgeon.
Primary purpose: DIAGNOSTIC

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Number of participants with undergoes inguinal hernia repair -related voiding dysfunction as assessed by uroflowmetry
timeFrame: 3 days
Secondary outcomes:
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Ankara Training and Research Hospital
Study officials:
References:
citation: Mohammadi-Fallah M, Hamedanchi S, Tayyebi-Azar A. Preventive effect of tamsulosin on postoperative urinary retention. Korean J Urol. 2012 Jun;53(6):419-23. doi: 10.4111/kju.2012.53.6.419. Epub 2012 Jun 19.
citation: Clancy C, Coffey JC, O'Riordain MG, Burke JP. A meta-analysis of the efficacy of prophylactic alpha-blockade for the prevention of urinary retention following primary unilateral inguinal hernia repair. Am J Surg. 2018 Aug;216(2):337-341. doi: 10.1016/j.amjsurg.2017.02.017. Epub 2017 Mar 14.