Evaluation of simultaneous open prostatectomy and preperitoneal inguinal herniorrhaphy with polypropylene mesh application with single incision

Abstract

Background: Benign prostatic hyperplasia (BPH) is one of the common problems in older men which in many cases need to be treated. However, the incidence of inguinal hernia increases with age and a significant number of patients with symptoms of BPH, have concurrent inguinal hernia. Although simultaneous suprapubic prostatectomy and inguinal herniorrhaphy is one of the treatment options, but routinely it is not used. This study was aimed to evaluate the results of this surgical procedure. Methods: In this study. 122 patients who were underwent open suprapubic prostatectomy and simultaneous preperitoneal herniorrhaphy with polypropylene mesh application, were evaluated and outcomes and complications of this procedure was recorded. Results: Of 122 patients were enrolled, 38 (31.1%) patients had bilateral inguinal hernia, of 170 hernias, 29 were direct inguinal hernia and 141 were indirect. of 84 patients with unilateral hernia 33 patients had inguinal hernia on the left side and 51 patients on the right side. The median clinical follow-up time was 26.4 months (range 12-48 months). During the follow-up period, surgical site infection, hematoma, chronic pain and hernia recurrence were not detected. Three patients (2.5%) had hydrocele after surgery. In all patients, the surgical outcomes were satisfactory. Conclusions: According to the results, simultaneous prostatectomy and preperitoneal herniorrhaphy with mesh application is a convenient procedure which can be easily performed, furthermore it is cost effective, time-saving and achieves good outcomes for patients.