Management of inguinal hernia with benign prostatic hyperplasia: Simultaneous inguinal hernioplasty with transurethral resection of prostate

Bawa, Amarpreet Singh; Batra, Rajender; Singh, Rajdeep

doi:10.1023/b:urol.0000025615.06733.09

Cited by 15 publications

(15 citation statements)

References 9 publications

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“…Therefore, it is considered as a matter of course that BPH composes a predisposition to hernia and aggravates hernia symptoms. Though many literatures mentioned that BPH should be a factor of inguinal hernia formation, there has been a lack of actual research study to discuss the relationship between inguinal hernia and BPH [3,6,12]. In 1982, Thompson et al had done a detailed research on 70 cases of patients who needed to undergo inguinal hernia surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Both inguinal hernia and Benign Prostate Hyperplasia (BPH) are disorders with a higher frequency among elderly patients [1,2]. Though there are many patients who are diagnosed with both diseases at the same time, clinicians don't pay attention to their correlation [3]. Some reports of combined transurethral resection of prostate and inguinal hernioplasty for elderly patients were published.…”

Section: Introductionmentioning

confidence: 99%

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The Clinical Study: Impact of Benign Prostate Hyperplasia on the Inguinal Hernia Formation

Yang¹

2018

IJBECS

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The aim of this study was to explore impact of Benign Prostate Hyperplasia on inguinal hernia formation in elder men through a clinical trial among Benign Prostate Hyperplasia of the elderly patients who undergo inguinal hernia surgery. Three routine preoperative examinations to determine the extent of prostate hyperplasia were conducted on 368 elderly patients who were admitted for inguinal hernia surgery (Experimental group) and on 203 other elderly patients who underwent other nonemergency surgeries (Control group) from January of 2010 to December of 2013. The results of IPSS score, the prostate size, and the urine residual volume obtained from the patients of the Experimental group indicated statistically significant differences from those of the Control group. It was concluded that voiding difficulty caused by Benign Prostate Hyperplasia is a significant reason for elderly male patients to develop into inguinal hernia. It is important to have routine prostate examinations required for elderly male patients with the diagnosis of inguinal hernia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Clinical Study: Impact of Benign Prostate Hyperplasia on the Inguinal Hernia Formation

Yang¹

2018

IJBECS

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“…There are some reports regarding combined inguinal herniorrhaphy and open or transurethral prostatectomy (2,3,8,10). Combined operative procedures under single anaesthetic session for concomitant pathologies have the advantages of greater patient satisfaction, quick convalescence, decreased hospitalisation and cost effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…They did not report any wound infections or recurrences in the combined procedure group. Bawa et al (10) recently reported the results of combined TURP and mesh hernioplasty. They separated the genital and inguinal area using a sterile drape and performed the combined procedure simultaneously.…”

Section: Discussionmentioning

confidence: 99%

Combined transurethral resection of prostate and inguinal mesh hernioplasty

Çimentepe

İnan

Ünsal

et al. 2005

International Journal of Clinical Practice

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We aimed to evaluate the difference among early post-operative morbidities of transurethral resection of prostate (TURP), inguinal herniorrhaphy and their combination in this study. Between 1998 and 2004, 44 patients undergoing combined inguinal herniorrhaphy and TURP (Group I) were compared with 50 consecutive cases of TURP alone (Group II) and 50 consecutive cases of inguinal herniorrhaphy alone (Group III). There were no differences in the mean age and mean prostatic volume between Group I and II. The mean operation time and length of hospital stay were 126.1 +/- 20.9 min, 3.0 +/- 0.7 days for Group I, 61.4 +/- 15.6 min and 2.9 +/- 0.69 days for Group II and 55.0 +/- 15.6 min and 1.2 +/- 0.4 days for Group III, respectively. The mean operation time of Group I was found as longer than Group II and III. There were no significant differences among all groups regarding post-operative complications. No mesh infection was detected. Combined TURP and inguinal herniorrhaphy is a practical, safe and effective procedure.

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“…But some of the studies showed that their occurrence together is considered as just a coexistence rather than cause and effect. 5 This study is aimed to find out whether benign prostatic hyperplasia is a significant risk factor for developing inguinal hernia in males.…”

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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Management of inguinal hernia with benign prostatic hyperplasia: Simultaneous inguinal hernioplasty with transurethral resection of prostate

Abstract: Combining mesh hernioplasty and TURP is a better option because of low wound infection and hernia recurrence rates. Combining these two also saves the patient of having to undergo another hospital admission and surgery, besides the significant cost savings.

Cited by 15 publications

References 9 publications

The Clinical Study: Impact of Benign Prostate Hyperplasia on the Inguinal Hernia Formation

The Clinical Study: Impact of Benign Prostate Hyperplasia on the Inguinal Hernia Formation

Combined transurethral resection of prostate and inguinal mesh hernioplasty

A study on association between inguinal hernia and benign prostatic hyperplasia

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