Synchronous Suprapubic Prostatectomy and Inguinal Herniorrhaphy

Esho, Julius O.; Ntia, IO; Kuwong, M.P.

doi:10.1159/000472911

Cited by 9 publications

(5 citation statements)

References 5 publications

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“…repairs of hernias on all patients with symptomatic or incidentally discovered inguinal hernias who were undergoing pelvic urologic operations, including radical retropubic prostatectomy or radical cystoprostatectomy. Combined repair of a hernia and open prostatectomy for benign disease have been found to be effective and reliable, having patient recovery rates and complication rates comparable to those Of simple open prostatectomy [1,3,4]. Patients are, therefore, saved an additional exposure to anesthesia.…”

mentioning

confidence: 99%

The use of the preperitoneal approach for the simultaneous repair of inguinal hernia during surgery on the bladder and prostate

Walsh

1989

World j. surg.

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Repair of a hernia can be performed safely and expeditiously during a radical pelvic operation by the preperitoneal approach through a median longitudinal incision. We present the results of 41 preperitoneal herniorrhaphies performed simultaneously with 343 radical retropubic prostatectomies and 26 radical cystoprostatectomies. There was no evidence of hernial recurrence after a mean of 28 months and no complications attributable to the hernial repairs. We illustrate the preperitoneal anatomy, and the technique, which allows the safe and efficacious performance of a hernial repair during a urologic procedure.

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mentioning

confidence: 99%

The use of the preperitoneal approach for the simultaneous repair of inguinal hernia during surgery on the bladder and prostate

Walsh

1989

World j. surg.

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“…While in some cases no treatment was required, some patients have to undergo either dilation of the urethral stricture or bladder neck contracture, internal urethrotomy or a bladder neck contracture resection, under anesthesia (10)(11)(12)(13)(14)(15). Five patients required dilatation and two patients required visual internal urethrotomy, in our cases.…”

Section: Discussionmentioning

confidence: 81%

“…(14)(15) Simultaneous hernia repair appears as a safe procedure and may avoid a second surgical procedure. A total of 32 patients with inguinal hernia with BPH required only one access route.…”

Section: Discussionmentioning

confidence: 99%

Open Prostatectomy: The Results Of A Series Of 320 Cases In Rural Area

Ceylan

2006

ELECTRON J GEN MED

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Aim: Suprapubic prostatectomy is frequently performed in areas with poor socioeconomic condition due to insuficient endoscopy equipment. The aim of this retrospective study is to analyse and bring our experience about the open prostatectomy operation Methods: A retrospective study was done on 320 consecutive patients with BPH underwent open prostatectomy operation between January 1996 and December 2002. Analyzed factors were age, complaints, comorbidities (especially cardiac and respiratory), early and late complications and mortalitiy.Results: The total complication rate was 34.6 %. While early complication rate was 20.3 %, late complication rate was 14.3 %. There were no deaths. Early complications were clot retantion (6.6 %), severe intraoperative bleeding (3.2%), wound infection (4.0%) vesicocutaneous leak (4.7%), and reoperation for clot retantion (1.5%). Late complications were urinary tract infection (7.5%), epididymo-orchitis (3.1%), prolonged incontinance (0.9), and bladder neck or urethral stricture (2.2%).Conclusion: Our study demonstrated that open prostatectomy for benign prostatic hyperplasia (BPH) is an acceptable option with a high degree of safety and efficacy in areas where the TUR-P equipment is lacking or this operation is technically impossible.

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“…In addi tion, it is suitable for any degree of prostatic hypertro phy. Associated bladder lesions can be treated at the same sitting while hernias may be repaired synchro nously when present [13]. Besides, it is the easiest method of prostatectomy to teach general surgical resi dents.…”

Section: Discussionmentioning

confidence: 99%