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Combined retropubic prostatectomy and preperitoneal inguinal herniorrhaphy
1Department of Urology, Golda Medical Center, Hasharon Hospital, Petah Tiqva, Israel.
The Journal of Urology
|December 1, 1988
Summary
Elderly patients with enlarged prostates and inguinal hernias can undergo combined surgery. This approach for prostatectomy and inguinal hernia repair showed a low recurrence rate and no complications.
Area of Science:
- Urology
- Geriatric Surgery
Background:
- Inguinal hernias and benign prostatic hyperplasia (BPH) are common in elderly men.
- The proximity of these conditions suggests potential for simultaneous surgical intervention.
Purpose of the Study:
- To evaluate the safety and efficacy of concurrent surgical treatment for inguinal hernias and benign prostatic enlargement.
Main Methods:
- Retrospective analysis of 97 patients undergoing retropubic prostatectomy and preperitoneal inguinal hernia repair via Pfannenstiel incision.
- Follow-up averaged 7 years, assessing recurrence and complications.
Main Results:
- 131 inguinal hernias in 97 patients were successfully repaired concurrently with prostatectomy.
- A low recurrence rate of 4.9% was observed.
- No complications were reported following the combined procedure.
Conclusions:
- Concurrent prostatectomy and preperitoneal inguinal hernia repair is a safe and effective option.
- This combined approach demonstrates low recurrence and complication rates, supporting its routine use in urological practice.