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Background: Post-operative urinary retention (POUR) is a common complication following inguinal hernia repair resulting in prolonged hospital stay and increased costs. The aim of this study was to determine the incidence of POUR in our study group, to identify at risk groups and lastly to develop a strategy that may improve this outcome. Methods: A total of 188 consecutive male patients undergoing open inguinal hernia repair under general anesthetic by a single surgeon over a 5-year period were reviewed. Data was collected by retrospective analysis of