Simple method of preventing postoperative inguinal hernia after radical retropubic prostatectomy

Urology
Kazumi TaguchiKenjiro Kohri

Abstract

To establish a novel and simple method of preventing post-retropubic prostatectomy (RRP) inguinal hernia. Inguinal hernias occur in 8%-22% of men within 1-2 years of RRP. Although manipulation during RRP might weaken the normal fascia structure at the internal inguinal ring with the vas deferens, the exact mechanism of post-RRP inguinal hernia remains unknown. Several surgeons performed RRP at our hospital on 271 patients between April 2004 and September 2009. Among these patients, post-RRP measures to prevent inguinal hernia were applied to 101 patients (group A) and not applied to 170 patients (group B). We released the bilateral spermatic cord from the peritoneum before suturing the wound, which should prevent the intestinal tract coated with the peritoneum from pushing through the internal inguinal tract. We compared the incidence of postoperative inguinal hernia between the 2 groups. The patients were followed up for an average of 11.6 (range: 2-22 months) and 23.9 (range: 23-24 months) months in groups A and B, respectively. Inguinal hernia developed in no patients in group A and in 20 (11.8%) in group B. The hernia-free rate was significantly lower in group B than group A. All postoperative inguinal hernias were indirect...Continue Reading

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Citations

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
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 15, 2010·Nature Reviews. Urology·Rebecca Drake

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