Predictors of inguinal hernia after radical prostatectomy

Urology
Farhang RabbaniMary S Brady

Abstract

To determine the significant independent predictors of inguinal hernia development after radical prostatectomy (RP) so that prophylactic measures can be undertaken in those at increased risk. Although inguinal hernia is a recognized complication after RP, the risk factors have not been well elucidated. From January 1999 to June 2007, 4592 consecutive patients underwent open retropubic RP or laparoscopic RP without previous radiotherapy. The median follow-up was 36.9 months (interquartile range 20.3, 60.6). Comorbidities were recorded, as well as the occurrence of inguinal hernia, wound infection, and bladder neck contracture. Cox proportional hazards analysis was performed for the predictors of inguinal hernia after RP on multivariate analysis. Inguinal hernia developed after RP in 68 men (1.5%) men at a median follow-up of 7.9 months (interquartile range 4.3, 18.1). The laterality was bilateral in 7, right in 27, left in 24, and not documented in 10 patients. The significant independent predictors of inguinal hernia included age (hazard ratio [HR] 1.05, 95% confidence interval [CI] 1.01-1.09, P = .016), body mass index (HR 0.91, 95% CI 0.85-0.98, P = .011), history of inguinal hernia repair (HR 3.9, 95% CI 1.8-8.2, P <.001), a...Continue Reading

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Citations

May 13, 2014·Journal of Endourology·Ali Serdar GözenJens Rassweiler
Jan 22, 2013·The Journal of Urology·Steven Sobey, Farhang Rabbani
Nov 2, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L SalomonM Soulié
Aug 22, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Dong Hoon LeeByung Ha Chung
Mar 30, 2016·International Journal of Urology : Official Journal of the Japanese Urological Association·Yasuhiro KaihoYoichi Arai
Dec 12, 2013·Prostate Cancer·Emma F P JacobsTimothy A Masterson
Aug 24, 2017·Journal of Robotic Surgery·Travis RogersLeandro Totti Cavazzola
Apr 7, 2011·Nature Reviews. Urology·Johan Stranne, Pär Lodding
Dec 1, 2010·Nature Reviews. Urology·A Ari Hakimi, Farhang Rabbani

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