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Combined inguinal herniorrhaphy and transurethral prostatectomy
A González-Ojeda1, M Marquina, J Calva
1Department of Surgery, Instituto Nacional de la Nutrición, México, D.F.
The British Journal of Surgery
|December 1, 1991
Summary
Combined inguinal herniorrhaphy and transurethral prostatectomy is safe and effective for men with both conditions. This approach offers comparable outcomes to separate procedures, simplifying treatment and recovery.
Area of Science:
- Urology
- General Surgery
Background:
- Concurrent inguinal hernias and symptomatic prostatism present a surgical challenge.
- Older patients with comorbidities often have these co-occurring conditions.
Purpose of the Study:
- To evaluate the safety and efficacy of combined inguinal herniorrhaphy and transurethral prostatectomy.
- To compare outcomes of the combined procedure with individual surgeries.
Main Methods:
- Retrospective analysis of 41 patients undergoing combined surgery (Group 1).
- Comparison with 100 cases of inguinal herniorrhaphy alone (Group 2) and 100 cases of transurethral prostatectomy alone (Group 3).
- Data collected on complications, hernia recurrence, hospitalization, and mortality.
Main Results:
- Group 1 had higher preoperative risk factors due to age and comorbidities.
- No significant differences in operative or postoperative complications were observed between groups.
- Zero hernia recurrences in Group 1 after a mean follow-up of 47.1 months.
- Similar hospitalization lengths and no mortality across all groups.
Conclusions:
- Combined inguinal herniorrhaphy and transurethral prostatectomy is a practical, safe, and effective option.
- The procedure offers benefits of a single anesthetic, surgery, hospital stay, and convalescence.
- Morbidity and mortality rates are comparable to those of individual procedures.