MC complication following hemorrhoidectomy is: March 2013 (h)
**Core Concept**
Hemorrhoidectomy is a surgical procedure to remove hemorrhoids, which are swollen veins in the anal region. Postoperative complications can arise due to various factors, including the surgical technique, patient's overall health, and postoperative care.
**Why the Correct Answer is Right**
The correct answer is **urinary retention**. This is a common complication following hemorrhoidectomy, particularly in older patients or those with pre-existing urinary retention issues. Urinary retention occurs when there is an inability to completely empty the bladder, leading to a buildup of urine. This can be caused by postoperative pain, inflammation, or swelling in the anal region, which can irritate the nerves controlling the bladder, leading to an inability to urinate properly.
**Why Each Wrong Option is Incorrect**
**Option A:** **Bleeding** - While bleeding can be a complication following hemorrhoidectomy, it is not the most common postoperative complication. Bleeding can occur due to the surgical site, but it is usually managed with local measures and does not typically require prolonged postoperative care.
**Option B:** **Infection** - Infection is a potential complication of any surgical procedure, but it is not the most common postoperative complication following hemorrhoidectomy. Infection can occur due to bacterial contamination of the surgical site, but it is usually managed with antibiotics and wound care.
**Option C:** **Urinary incontinence** - Urinary incontinence is not a common complication following hemorrhoidectomy. In fact, urinary incontinence is more commonly associated with other surgical procedures, such as hysterectomy or prostate surgery.
**Clinical Pearl / High-Yield Fact**
It is essential to educate patients on the importance of postoperative bladder training and pain management to prevent urinary retention following hemorrhoidectomy.
**Correct Answer:** A. Urinary retention.