Post-radical prostatectomy inguinal hernia: a simple surgical intervention can substantially reduce the incidence--results from a prospective randomized trial

The Journal of Urology
Johan StrannePär Lodding

Abstract

After radical retropubic prostatectomy a postoperative inguinal hernia develops in 15% to 20% of patients. We investigated whether a simple prophylactic procedure during radical retropubic prostatectomy would reduce this incidence. A total of 294 consecutive patients scheduled for radical retropubic prostatectomy at our clinic were prospectively included in the study. Patients with a present inguinal hernia or a previous inguinal hernia surgery were not included in the analysis. The subjects were randomized for side of prophylactic intervention (left or right). At radical retropubic prostatectomy a nonresorbable figure-of-8 suture was placed lateral to the internal ring of the inguinal canal and the spermatic cord on either side according to outcome of the randomization. Patients were followed at regular followup visits at the clinic. At the end of the study all patients were invited for a final interview and examination by an independent examiner who was unaware of the side of intervention. Of the patients 86% (254) showed up for the final examination. The cumulative inguinal hernia incidence was 3.5% on the intervention side and 9.1% on the control side (log rank Mantel-Cox p = 0.011). There were no serious adverse events, an...Continue Reading

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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
Nov 10, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R MatsunagaK Akakura
Nov 14, 2013·Prostate International·Hidekazu KoikeKazuhiro Suzuki
May 22, 2013·The Journal of Urology·Sigrid V CarlssonJames A Eastham
Aug 31, 2016·Journal of Endourology·Kamaljot KalerMatthew Dolich
Jul 28, 2016·Journal of Endourology·Kamaljot KalerMatthew Dolich
Sep 15, 2010·Nature Reviews. Urology·Rebecca Drake
Apr 7, 2011·Nature Reviews. Urology·Johan Stranne, Pär Lodding

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