General Surgery Qualifying Examination (GSQE)

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A 25-year-old guy who has mixed internal and exterior hemorrhoids that are refractory to medical therapy has a 3 column excisional hemorrhoidectomy. He experiences suprapubic soreness and the inability to urinate later that evening. Which of the following factors most likely caused this complication?

Prolonged duration of hemorrhoid symptoms Injury to the pelvic nerves Limiting intravenous fluids in the postoperative recovery unit Performing 3 quadrant hemorrhoidectomy instead of 2

Correct Answer:

Performing 3 quadrant hemorrhoidectomy instead of 2

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