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Preperitoneal prosthetic mesh hernioplasty during radical retropubic prostatectomy
B B Choi1, J Steckel, G Denoto
1James Buchanan Brady Foundation, Department of Urology, New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, USA.
The Journal of Urology
|February 18, 1999
Summary
Simultaneous inguinal hernia repair during radical retropubic prostatectomy is safe and effective. Mesh hernioplasty demonstrated superior outcomes, with no recurrence, compared to non-mesh techniques.
Area of Science:
- Urology
- Surgical Oncology
- Abdominal Surgery
Background:
- Radical retropubic prostatectomy (RRP) rates have increased.
- 5-10% of RRP candidates have inguinal hernias.
- Increased incidence of inguinal hernia post-RRP noted.
Purpose of the Study:
- Evaluate simultaneous inguinal hernioplasty during RRP.
- Assess the efficacy and safety of combined procedures.
Main Methods:
- Retrospective review of 70 hernioplasties in 48 patients during 575 RRPs (June 1991-June 1997).
- Preperitoneal approach used for all hernia repairs.
- Mesh (polypropylene/polyester) vs. non-mesh techniques compared.
Main Results:
- No recurrence with mesh hernioplasty (35 cases).
- 5 hernias (14%) recurred in the non-mesh group (35 cases).
- No wound infections, neuralgia, or orchitis reported.
Conclusions:
- Simultaneous inguinal hernia repair during RRP is feasible and effective.
- Mesh repair offers better outcomes than non-mesh.
- Hernia repair adds minimal operative time (5-10 minutes).