Combined transurethral resection of prostate and inguinal mesh hernioplasty

Çimentepe, Ersin; İnan, Aydın; Ünsal, Ali; Dener, Cenap

doi:10.1111/j.1742-1241.2005.00630.x

Cited by 9 publications

(10 citation statements)

References 7 publications

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“…The prevalence of inguinal hernia in men undergoing prostate surgery is 12%–23%, whereas 12%–25% of patients undergoing hernioplasty have the symptoms of BPH. [ 7 8 9 ] Age-related muscular degeneration and increased intra-abdominal pressure secondary to BOO due to BPH may precipitate hernias.…”

Section: Discussionmentioning

confidence: 99%

Concurrent laparoscopic totally extraperitoneal inguinal hernia repair and transurethral resection of prostate

Harvitkar¹,

Shetty²,

Joshi³

2022

Journal of Minimal Access Surgery

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Aim: This study aimed to evaluate concurrent laparoscopic totally extraperitoneal (TEP) inguinal hernia repair and transurethral resection of the prostate (TURP) with determination of outcomes. Materials and Methods: This retrospective study was conducted at our hospital, from June 2011 to June 2020. Over 9 years, 17 patients with co-existing uncomplicated unilateral or bilateral inguinal hernia (primary/recurrent) and significant benign prostatic hypertrophy were operated in the same sitting. The following outcomes were compared: duration of the surgery, conversion to open hernia surgery, intraoperative and post-operative complications, duration of hospital stay, recurrence, time taken to resume normal activity and cost of the treatment. Results: This study included 17 patients with a mean age of 65 years (range of 50–87 years). The average time taken for the surgery was 115 min with no conversion to open hernia repair. The mean post-operative stay was 3.7 days. There were four patients (23.5%) with seromas identified at day 10, only two remained at 6 weeks and none at 12 weeks. None had significant bleeding intraoperatively or postoperatively. There was no superficial or deep wound infection (including mesh infection). There was no recurrence of inguinal hernia. Two patients (11.7%) developed post-TURP urethral stricture and underwent cystoscopic stricturoplasty, 3 and 2.5 months after the initial procedure. Conclusion: Concurrent TEP inguinal hernia repair and TURP is a practical, safe and cost-effective procedure.

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Section: Discussionmentioning

confidence: 99%

Concurrent laparoscopic totally extraperitoneal inguinal hernia repair and transurethral resection of prostate

Harvitkar¹,

Shetty²,

Joshi³

2022

Journal of Minimal Access Surgery

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“…It is estimated that straining during urination coupled with a chronic increase in intra-abdominal pressure is the leading cause of inguinal hernia. The weakening of the inguinal canal wall also increases with age, a risk factor for hernias [4].…”

Section: Discussionmentioning

confidence: 99%

Elevated PSA level as a warning of mesh rejection risk after combined laparoscopic totally extraperitoneal hernia repair and transurethral resection of prostate: Case report

Handaya

Fauzi

Werdana

2019

International Journal of Surgery Case Reports

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Highlights Mesh rejection after combined laparoscopic TEP and TURP. High PSA level before procedure. An abscess developed several months after operation. Might be caused by mesh erosion to viscera. Mesh evacuation and debridement had been performed. No recurrence of hernia was found after mesh evacuation.

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“…Combining these two procedures under a single session has many advantages like patient satisfaction, decreased duration of hospital stay, quicker recovery and reduced overall hospital costs. 16 There are certain studies that suggest an increase in the rate of wound infection following this combined procedure. But, with the advent of trans-urethral resection of prostate (TURP), this has drastically reduced.…”

Section: Cases Controlsmentioning

confidence: 99%

“…3 Many symptom severity scores are being used in the evaluation of lower urinary tract symptoms that occur due to BPH. The most frequently used is the International Prostate Symptom Score (IPSS) by which the symptoms are classified as mild (score: 0-7), moderate (score: [8][9][10][11][12][13][14][15][16][17][18][19], or severe (score: 20-35). 3,4 The occurrence of both inguinal hernia and benign prostatic hyperplasia with lower urinary tract symptoms increases with age.…”

Section: Introductionmentioning

confidence: 99%

A study on association between inguinal hernia and benign prostatic hyperplasia

Parthiban

Durairaj

2019

Int Surg J

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Background: Inguinal hernia is the most common cause of abdomen wall hernias with multiple etiological risk factors. Benign prostatic hyperplasia (BPH) is the most important cause of bladder outlet obstruction in elderly males leading to chronic straining and difficulty in micturition, which can precipitate inguinal hernia. The occurrence of both inguinal hernia and BPH with lower urinary tract symptoms increases with age. Some studies show that their occurrence together is considered a chance co-existence rather than cause and effect. This study is aimed to find out whether BPH is a significant risk factor for developing inguinal hernia in males. Methods: This study was conducted at a tertiary care hospital in Chennai. 126 males, aged 40 and above were selected according to inclusion criteria and were divided into two groups viz cases (with inguinal hernia) and controls (without inguinal hernia). IPSS scoring chart, prostate volume and uroflometric analysis were done for both groups and results were compared. Results: IPSS scoring showed 22 cases (35%) and 22 controls (35%) had moderate to severe symptoms and no statistical significance. The mean prostate volume in cases was 22.5 g compared with 22.6 g among controls and was statistically insignificant. 11 cases (17%) and 13 controls (21%) had Qmax value less than 15 and the difference was statistically insignificant. Conclusions: This study shows that, although both inguinal hernia and benign prostatic hyperplasia are seen with increased frequency in the aged male population, there is no statistically significant association between the two. Their occurrence together is considered a chance co-existence rather than cause and effect.

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Combined transurethral resection of prostate and inguinal mesh hernioplasty

Cited by 9 publications

References 7 publications

Concurrent laparoscopic totally extraperitoneal inguinal hernia repair and transurethral resection of prostate

Concurrent laparoscopic totally extraperitoneal inguinal hernia repair and transurethral resection of prostate

Elevated PSA level as a warning of mesh rejection risk after combined laparoscopic totally extraperitoneal hernia repair and transurethral resection of prostate: Case report

A study on association between inguinal hernia and benign prostatic hyperplasia

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