Sarcouncil Journal of Medicine and Surgery

Abstract: Inguinal hernia surgery is bound to have urinary retention as one of its common side effects, particularly in the elderly. The aims of this study were to identify the prevalence of urinary retention after inguinal hernia repair and to identify the independent preoperative and intraoperative risk factors for urinary retention. A cross-sectional study was carried out of 115 male patients with inguinal hernia (mean age 76.4 ± 6.8 years). Collected data was divided into two groups, group 1 (28 patients) showed patients who suffer from urinary retention after operative, and group 2 (87 patients) showed patients without urinary retention after operative. We recorded our data from 2025 to 2026 in the follow-up from January 2025 to January 2026 in different hospitals in Iraq. All these data have been analyzed and incorporated in Clinical Enrollment, such as the type of anesthesia used, operating time, IV fluid, and recovery after surgery. According to patient outcomes, the overall incidence of postoperative urine retention was 24.3%. The frequency of LUTS (75.0% vs. 32.2%) and benign prostatic hyperplasia (BPH) (64.3% vs. 25.3%) in the postoperative urinary retention group differed significantly between the two groups. Following surgery, individuals with postoperative urine retention have far poorer outcomes (3.8 days in the hospital against 1.2 days, 6.2 pain ratings versus 3.1, and a higher unplanned readmission risk of 14.3% versus 1.1%). Urinary tract infections (21.4%), urinary overdistension injuries (10.7%), and permanent catheterization (7.1%) were the specific problems associated with postoperative urine retention. Almost a quarter of elderly men undergoing inguinal hernia surgery have postoperative urinary retention, which may be a significant factor in postoperative recovery and safety.