title: Effect of elective inguinal hernia repair on urinary symptom burden in men.
abstract: BACKGROUND
  Our study sought to examine the prevalence of urinary symptoms in men undergoing hernia repair and whether there is an association between symptoms and short-term outcomes.
  
  
  METHODS
  This is a prospective cohort study of male veterans consenting to inguinal hernia repair. The American Urological Association Symptom Score (AUASS) was administered preoperatively at 48 hours and again at 30 days after surgery.
  
  
  RESULTS
  Median preoperative AUASS was 6 (interquartile range [IQR]: 3 to 12); at 48 hours, the median score increased significantly to 10 (IQR: 4 to 16, P < .01) and at 30 days, the median score dropped below baseline to 3 (IQR: 1 to 8, P < .0001). Multivariable linear regression modeling revealed that the use of an intraoperative urinary catheter was significantly associated with an increase in AUASS from preop to both 48 hours and 30 days.
  
  
  CONCLUSIONS
  Elective repair of an inguinal hernia is associated with reduction in urinary symptom burden at 30 days, whereas the use of an intraoperative foley catheter is associated with no improvement at 30 days.
authors.affiliation: Center for Surgical, Medical Acute Care Research and Transitions, VAMC, Birmingham, AL, USA; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Rhiannon D
authors.initials: RD
authors.lastname: Reed
authors.affiliation: Center for Surgical, Medical Acute Care Research and Transitions, VAMC, Birmingham, AL, USA.
authors.forename: Tyler L
authors.initials: TL
authors.lastname: Poston
authors.affiliation: Center for Surgical, Medical Acute Care Research and Transitions, VAMC, Birmingham, AL, USA; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Kerby
authors.affiliation: Center for Surgical, Medical Acute Care Research and Transitions, VAMC, Birmingham, AL, USA; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Joshua S
authors.initials: JS
authors.lastname: Richman
authors.affiliation: Department of Urology, University of Tennessee, Memphis, TN, USA.
authors.forename: Janet L
authors.initials: JL
authors.lastname: Colli
authors.affiliation: Center for Surgical, Medical Acute Care Research and Transitions, VAMC, Birmingham, AL, USA; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: mhawn@uabmc.edu.
authors.forename: Mary T
authors.initials: MT
authors.lastname: Hawn
mesh_terms: D000368:Aged; D017558:Elective Surgical Procedures; D006552:Hernia, Inguinal / Q000453:epidemiology* / Q000601:surgery*; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D015995:Prevalence; D011446:Prospective Studies; D011470:Prostatic Hyperplasia / Q000453:epidemiology; D016896:Treatment Outcome; D014546:Urinary Catheterization
keywords: American Urological Association Symptom Score; Inguinal hernia repair; Lower urinary tract symptoms; Urinary retention