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Updated: Jun 19, 2026
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Published on: May 19, 2022
Laparoscopic mesh herniorrhaphy: impact on outcomes associated with radical retropubic prostatectomy
1Department of Urology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Objectives:
Laparoscopic herniorrhaphy employing non-absorbable mesh (LMH) is a frequently performed procedure for groin hernia. Multiple case reports in the urologic literature have identified LMH as a complicating factor in patients undergoing open radical retropubic prostatectomy (RRP) for prostate cancer. The purpose of this study was to review our experience and outcomes in patients with a prior LMH undergoing open RRP.
Methods:
After institutional review board approval, a retrospective review of all open RRPs performed by a single surgeon between 2003 and 2008 was used to identify patients with a history of a prior LMH. The outcomes of these patients were compared with a contemporary cohort of patients undergoing RRP by the same surgeon.
Results:
Eighteen patients with a prior LMH underwent RRP. Five of the 18 had bilateral LMH, with unilateral LMH in the remainder. Outcomes in this group were compared with 38 patients without prior LMH. There was no difference between the groups in terms of age, preoperative PSA, prostate size, preoperative Gleason score, or body mass index, and RRP was successfully performed in all 18 LMH patients. One of 18 patients had a postoperative complication (persistent JP drainage). Compared with the control group, differences in operative time and blood loss bordered on statistical significance.
Conclusions:
Prior LMH is not a contraindication to RRP. While resulting in slightly longer operating times and higher blood loss, our experience suggests that RRP can be safely performed in these patients.
Insights
Prior laparoscopic mesh herniorrhaphy (LMH) does not contraindicate open radical retropubic prostatectomy (RRP). RRP can be safely performed in these patients, though operating times and blood loss may slightly increase.
Area of Science:
- Urology
- Surgical Oncology
- Hernia Surgery
Background:
- Laparoscopic herniorrhaphy with non-absorbable mesh (LMH) is common for groin hernias.
- Case reports suggest LMH may complicate open radical retropubic prostatectomy (RRP).
Purpose of the Study:
- To review outcomes of open RRP in patients with prior LMH.
- To assess the safety and feasibility of RRP after LMH.
Main Methods:
- Retrospective review of open RRPs performed by a single surgeon (2003-2008).
- Identified 18 patients with prior LMH and compared them to 38 controls without prior LMH.
Main Results:
- RRP was successfully performed in all 18 patients with prior LMH.
- No significant differences in patient demographics or preoperative parameters were observed.
- One patient (1/18) experienced a postoperative complication (persistent JP drainage).
- Operative time and blood loss were slightly higher in the LMH group, nearing statistical significance.
Conclusions:
- Prior LMH is not a contraindication for RRP.
- Open RRP can be safely performed in patients with a history of LMH.
- Slightly increased operative time and blood loss are potential considerations.
