Incidence of inguinal hernias following radical retropubic prostatectomy

Regan, Terrence C.; Mordkin, Robert; Constantinople, Nicholas L.; Spence, Ian J.; Dejter, Stephen W.

doi:10.1016/s0090-4295(99)80491-9

Cited by 138 publications

(85 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our result also showed the procedure for the IH prevention at our medical center was effective in keeping free from development of postoperative IH. Although Regan et al reported the relation between the RRP and the postoperative IH in 1996, the mechanism of its development is still poorly understood [1]. The most likely hypothesis is that potential opening of processus vaginalis which has existed preoperatively changes into more complete one through the mechanical damage to the abdominal wall and the inguinal ring during RRP resulting in the failure of shutter mechanism.…”

Section: Discussionmentioning

confidence: 99%

“…Since the first report by Regan et al in 1996 [1], the high incidence of postoperative inguinal hernia (IH) has been recognized as a common complication of RRP. The incidence of IH after RRP has been reported to range from 12 % to 38.7 % [1][2][3][4][5][6][7]. Furthermore, reportedly more than 90 % of IH after RRP was indirect hernia [4,6].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevention Technique of Postoperative Inguinal Hernia in Patients Undergoing Radical Prostatectomy for Localized Prostate Cancer

Oyama

Miyake

Toyoshima

et al. 2016

Indian J Surg Oncol

View full text Add to dashboard Cite

To prevent inguinal hernia after retropubic radical prostatectomy, many urologists have utilized a prevention technique of inguinal hernia at the same time as retropubic radical prostatectomy. Here, we report the clinical benefit of the prevention technique of inguinal hernia as well as risk factors for the incidence of inguinal hernia. We investigated the medical records of 223 men who underwent retropubic radical prostatectomy for clinically localized prostate cancer between January 2007 and March 2013 at our medical center. We assessed the association between the postoperative inguinal hernia and variables such as age, body mass index, and previous abdominal surgery. Inguinal hernia-free survival was analyzed to verify risk factors of postoperative inguinal hernia. Of 223 patients, 67 (30 %) received prevention of inguinal hernia and 156 (70 %) did not. The median follow-up period after retropubic radical prostatectomy was 36 months (range, 3-58 months). Thirty one (14 %) patients developed unilateral or bilateral inguinal hernia after retropubic radical prostatectomy. The rate of postoperative inguinal hernia in prevented and non-prevented group was 3 % (2 of 67) and 19 % (29 of 156), respectively (P < 0.01, Mann-Whitney U test). Moreover, postoperative inguinal hernia-free survival in the prevention group was significantly longer than that in the nonprevented group (P < 0.01, log-rank test). In the prevention group, 1-, 2-, and 3-year inguinal hernia-free survival rates were 100 %, 96 %, and 96 %, respectively. Other clinical factors including age, body mass index, previous abdominal surgery, and previous inguinal hernia were not associated with the incidence of inguinal hernia in our cohort. The prevention technique was simple and safe to perform, and it could increase inguinal hernia-free survival rates after retropubic radical prostatectomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevention Technique of Postoperative Inguinal Hernia in Patients Undergoing Radical Prostatectomy for Localized Prostate Cancer

Oyama

Miyake

Toyoshima

et al. 2016

Indian J Surg Oncol

View full text Add to dashboard Cite

show abstract

“…Inguinal hernias have been reported as a complication of RRP, originally reported as appearing in 12% of postprostatectomy patients as opposed to 5% in the male population [77]. Rabbani et al concluded that risk factors included advanced age, low BMI, prior inguinal hernia repair, and bladder neck contracture [78].…”

Section: Perioperative Considerationsmentioning

confidence: 99%

Visible Angle on Magnetic Resonance Imaging Can Be Considered Indicator of Postoperative Outcome in Retropubic Radical Prostatectomy

Kwon

Lee

et al. 2017

Korean J Urol Oncol

View full text Add to dashboard Cite

Since the introduction of robot-assisted radical prostatectomy (RALP), robotics has become increasingly more commonplace in the armamentarium of the urologic surgeon. Robotic utilization has exploded across surgical disciplines well beyond the fields of urology and prostate surgery. The literature detailing technical steps, comparison of large surgical series, and even robotically focused randomized control trials are available for review. RALP, the first robot-assisted surgical procedure to achieve widespread use, has recently become the primary approach for the surgical management of localized prostate cancer. As a result, surgeons are constantly trying to refine and improve upon current technical aspects of the operation. Recent areas of published modifications include bladder neck anastomosis and reconstruction, bladder drainage, nerve sparing approaches and techniques, and perioperative and postoperative management including penile rehabilitation. In this review, we summarize recent advances in perioperative management and surgical technique for RALP.

show abstract

“…Several investigators have mentioned the high incidence of inguinal hernia after open RRP since the first report by Regan et al in 1996. Regan et al 1 showed that 12% of 92 patients treated with conventional RRP developed inguinal hernia approximately 6 months postoperatively.…”

Section: Introductionmentioning

confidence: 99%

Lower incidence of inguinal hernia after radical prostatectomy using open gasless endoscopic single-site surgery

Fukuhara

Nishimatsu

Suzuki

et al. 2011

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

Inguinal hernia is one of the long-term complications requiring surgical interventions after retropubic radical prostatectomy (RRP), and its incidence has been reported to range from 12 to 21%. The number of open gasless laparoendoscopic single-site surgery, especially minimum incision endoscopic radical prostatectomy (MIES-RRP) is increasing in Japan. The incidence of post-operative inguinal hernia was compared between conventional RRP and MIES-RRP. The medical records of 333 patients who underwent conventional RRP (n ¼ 214) or MIES-RRP (n ¼ 119) with pelvic lymphadenectomy at our hospital were retrospectively evaluated. There were no significant differences between the two groups in age, pre-operative PSA levels, or previous major abdominal surgery (cholecystectomy, gastrectomy and colectomy), appendectomy or inguinal hernia repair. MIES-RRP was carried out with a 5-8-cm lower abdominal midline incision. Inguinal hernia developed postoperatively in 41 (19%) of the 214 men undergoing conventional RRP during mean follow-up of 58 months (range: 7-60 months). In contrast, 7 (5.9%) of the 119 men receiving MIES-RRP, developed inguinal hernia during mean follow-up of 21 months (range: 13-31 months). The hernia-free survival was significantly higher after MIES-RRP than after conventional RRP (P ¼ 0.037). Our results suggest that MIES-RRP is less associated with post-operative inguinal hernia than conventional RRP.

show abstract

Incidence of inguinal hernias following radical retropubic prostatectomy

Cited by 138 publications

References 6 publications

Prevention Technique of Postoperative Inguinal Hernia in Patients Undergoing Radical Prostatectomy for Localized Prostate Cancer

Prevention Technique of Postoperative Inguinal Hernia in Patients Undergoing Radical Prostatectomy for Localized Prostate Cancer

Visible Angle on Magnetic Resonance Imaging Can Be Considered Indicator of Postoperative Outcome in Retropubic Radical Prostatectomy

Lower incidence of inguinal hernia after radical prostatectomy using open gasless endoscopic single-site surgery

Contact Info

Product

Resources

About