Preperitoneal prosthetic mesh hernioplasty for the simultaneous repair of inguinal hernia during prostatic surgery: experience with 172 patients

Urol Int. 2005;75(1):38-42. doi: 10.1159/000085925.

Abstract

Objectives: We report our experience with posterior preperitoneal prosthetic hernioplasty for inguinal hernia in patients undergoing concomitant pelvic surgery for prostatic pathologies.

Methods: 172 patients with unilateral or bilateral inguinal hernia underwent posterior preperitoneal prosthetic hernioplasty during pelvic surgery for BPH and malignant prostatic pathologies.

Results: There was no evidence of hernial recurrence after a mean of 30 months and no complications attributable to the hernial repairs, except for 1 patient who developed a small periprosthetic hematoma and 1 patient with a pelvic lymphocele, both spontaneously resolved.

Conclusions: Posterior preperitoneal prosthetic hernioplasty for inguinal hernia combined with pelvic surgery for prostatic pathologies should be applied routinely by urologists because it is a relatively simple procedure and with a very low rate of complications and recurrence.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Follow-Up Studies
  • Hernia, Inguinal / complications
  • Hernia, Inguinal / surgery*
  • Humans
  • Intraoperative Period
  • Male
  • Middle Aged
  • Peritoneum / surgery*
  • Plastic Surgery Procedures*
  • Prostatectomy*
  • Prostatic Diseases / complications
  • Prostatic Diseases / surgery*
  • Prosthesis Design
  • Prosthesis Implantation / instrumentation*
  • Retrospective Studies
  • Secondary Prevention
  • Surgical Mesh*
  • Treatment Outcome