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Transurethral Resection of the Prostate (TURP) and concomitant inguinal hernioplasty: a single-center experience.
Hsu, Ting-Wei; Tseng, Wen-Hsin; Huang, Steven K; Chiu, Allen W; Li, Chien-Feng; Shiue, Yow-Ling.
Afiliación
  • Hsu TW; Division of Urology, Department of Surgery, Chi Mei Medical Center, No.901, Zhonghua Rd.Yongkang Dist., Tainan City, 71004, Taiwan.
  • Tseng WH; Division of Urology, Department of Surgery, Chi Mei Medical Center, No.901, Zhonghua Rd.Yongkang Dist., Tainan City, 71004, Taiwan. t.wen@yahoo.com.tw.
  • Huang SK; Institute of Biomedical Science, College of Medicine, National Sun Yat-Sen University, Kaohsiung, Taiwan. t.wen@yahoo.com.tw.
  • Chiu AW; Division of Urology, Department of Surgery, Chi Mei Medical Center, No.901, Zhonghua Rd.Yongkang Dist., Tainan City, 71004, Taiwan.
  • Li CF; Department of Urology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
  • Shiue YL; Department of Pathology, Chi Mei Medical Center, Tainan, Taiwan.
BMC Urol ; 24(1): 188, 2024 Aug 31.
Article en En | MEDLINE | ID: mdl-39217318
ABSTRACT

BACKGROUND:

Benign prostatic hyperplasia (BPH) is a prevalent condition in aging males, leading to bladder outlet obstruction (BOO) and associated urinary symptoms. With increasing life expectancy, the incidence of BPH and its co-morbidities, like inguinal hernia, has risen. This study explores the efficacy of combining transurethral resection of the prostate (TURP) and inguinal hernioplasty in a single surgical session to address both conditions, potentially reducing the need for multiple hospitalizations and surgical interventions.

METHODS:

This retrospective study at Chi Mei Medical Center included patients from 2014 to 2023 who underwent concurrent TURP and inguinal hernioplasty. A total of 85 patients met the criteria defined for this study. Preoperative, intraoperative, and postoperative characteristics were meticulously documented. Outcomes evaluated included the duration of the surgery, incidence of intraoperative and postoperative complications, duration of Foley catheterization, length of hospital stay, and treatment efficacy. Additionally, we conducted a comparative assessment of the surgical outcomes between two distinct techniques for inguinal hernia repair open hernioplasty and laparoscopic hernioplasty (LH).

RESULTS:

In 85 patients who met the criteria, the mean age was 71.1 ± 7.8 years. The study reported no significant intraoperative complications, and postoperative care was focused on monitoring for blood loss, infection, and managing pain. The average postoperative hospital stay was 2.9 ± 1.0 days and the mean duration of catheterization was 51.6 ± 16.7 h, with a minimal complication rate observed during the one-year follow-up. A significant reduction in both operative duration and catheterization interval was observed in patients undergoing LH as opposed to those receiving open hernioplasty.

CONCLUSION:

Concurrent TURP and inguinal hernioplasty effectively manage BOO due to BPH and inguinal hernias with minimal complications, suggesting a viable approach to reducing hospital stays and surgical interventions. Laparoscopic techniques, in particular, offer benefits in operative efficiency and recovery time, making combined surgery a feasible option for selected patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hiperplasia Prostática / Resección Transuretral de la Próstata / Herniorrafia / Hernia Inguinal Límite: Aged / Aged80 / Humans / Male / Middle aged Idioma: En Revista: BMC Urol Asunto de la revista: UROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hiperplasia Prostática / Resección Transuretral de la Próstata / Herniorrafia / Hernia Inguinal Límite: Aged / Aged80 / Humans / Male / Middle aged Idioma: En Revista: BMC Urol Asunto de la revista: UROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido