Simultaneous Bilateral Anterior Inguinal Herniorrhaphy with Polypropylene Mesh Application and Open Prostatectomy.
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Date
2015
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Abstract
Aims: Lower urinary tract symptoms (LUTS) are common in aging men. Benign prostatic
hyperplasia (BPH) develops with advancing age. The incidence of inguinal hernia also increases
with age. A significant number of elderly men with symptoms of BPH have inguinal hernia at the
same time. Simultaneous preperitoneal inguinal hernia repair with other pelvic surgeries has been
described, but it was not popular among urologists and general surgeons mainly because of high
recurrence rate.
Study Design: Prospective study.
Place and Duration of Study: Department of Urology, Tabriz University of Medical Sciences,
Imam Reza Hospital, between March 2010 and September 2013
Methodology: We evaluated the outcomes and complications of 37 patients who underwent open
transvesical prostatectomy and simultaneous bilateral preperitoneal herniorrhaphy with application
of polypropylene mesh Results: Twelve patients with bilateral direct hernia, 24 patients with bilateral indirect hernia and
one patient with right side direct and left side indirect inguinal hernia were enrolled in our study.
Four patients (10.8%) had bilateral recurrent hernias and 2 others (5.4%) had recurrent hernia on
one side and primary hernia on the other side. Mean operation time was 86 minutes (71-110). The
mean blood loss during surgery was 578 (240-1250)ml. The median clinical follow-up time was
13.7 months. During follow-up period surgical site infection, hematoma, chronic pain and
recurrence were not detected. One (2.7%) lymphocele formation was detected. In all patients, the
surgical outcomes were satisfactory.
Conclusion: Simultaneous prostatectomy and preperitoneal herniorrhaphy with mesh application,
is a convenient and safe procedure which can be performed easily by urologists. This procedure is
both cost effective and time-saving and achieves long term beneficial outcomes for patients.
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Keywords
Inguinal herniorrhaphy, polypropylene mesh, prostatectomy, simultaneous
Citation
Davoud Nourizadeh, Mohsen Amjadi, Javad Joodi, Abbas Jabbari. Simultaneous Bilateral Anterior Inguinal Herniorrhaphy with Polypropylene Mesh Application and Open Prostatectomy.British Journal of Medicine and Medical Research. 2015; 5(1): 81-87.