• Reg Anesth Pain Med · Nov 2002

    Review

    Postherniorrhaphy urinary retention--effect of local, regional, and general anesthesia: a review.

    • Peter Jensen, Trine Mikkelsen, and Henrik Kehlet.
    • Department of Surgical Gastroenterology 435, University of Copenhagen, Hvidovre Hospital, Hvidovre, Denmark.
    • Reg Anesth Pain Med. 2002 Nov 1; 27 (6): 612-7.

    Background And ObjectivesPostherniorrhaphy urinary retention (UR) may depend on the anesthetic technique. We therefore reviewed available published studies of UR in relation to anesthetic technique.MethodsA Medline-based search (1966-November 2001) revealed 70 nonrandomized and 2 randomized studies.ResultsThe incidence of UR was lower with local anesthesia (LA) (33 in 8991 patients, 0.37%, 95% confidence interval [CI] 0.24%-0.49%) compared with regional anesthesia (RA) (150 in 6191 patients, 2.42%, 95% CI 2.04%-2.81%) and general anesthesia (GA) (344 in 11471 patients, 3.00%, 95% CI 2.69%-3.31%).ConclusionThe low incidence of UR with LA is in accordance with the inhibitory effects of RA and GA on bladder function. Data from newer short-acting techniques of GA and RA are required to define the optimal anesthetic for inguinal herniorrhaphy.

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