A novel technique to prevent postradical retropubic prostatectomy inguinal hernia: the processus vaginalis transection method

Urology
Yasuhisa FujiiIwao Fukui

Abstract

To present a novel technique to prevent inguinal hernias after radical retropubic prostatectomy (RRP). The incidence of inguinal hernia after RRP has been reported to occur in the range 12%-21%. Indirect hernias are more common than direct hernias after RRP. A total of 569 Japanese patients with prostate cancer underwent antegrade RRP between January 2001 and February 2007. Since February 2006, 138 patients underwent procedures for concurrent inguinal hernia prevention at the time of RRP. For hernia prevention, the processus vaginalis was ligated close to the peritoneal cavity and transected. The remaining 431 patients who underwent the same RRP procedures without hernia prevention were considered control group. The incidence rates of postoperative inguinal hernia in the 2 groups were statistically compared. An inguinal hernia developed postoperatively in 105 (24%) of the 431 control patients during follow-up of median 42 months. Hernia-free survival rates were 87%, 81%, and 77%, for 1-, 2-, and 3-year, respectively. By contrast, 2 of the 138 patients (1.4%) who underwent hernia prevention developed an inguinal hernia during follow-up of median 24 months. Hernia-free survival rates were both 99% for 1- and 2-year (P <.0001). Th...Continue Reading

References

Feb 20, 2004·Urology·Kentaro IchiokaYoichi Arai
Apr 5, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J StranneP Lodding
Dec 11, 2007·Urology·Herbert Lepor, David Robbins

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Citations

Nov 2, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L SalomonM Soulié
Mar 30, 2016·International Journal of Urology : Official Journal of the Japanese Urological Association·Yasuhiro KaihoYoichi Arai
Nov 10, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R MatsunagaK Akakura
Nov 14, 2013·Prostate International·Hidekazu KoikeKazuhiro Suzuki
Jan 10, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T TaniokaH Ishizu
Apr 7, 2011·Nature Reviews. Urology·Johan Stranne, Pär Lodding
Sep 27, 2020·Surgery Today·Satoru NagataniYasuko Kameda

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