Inguinal Hernia After Radical Perineal Prostatectomy: Comparison with the Retropubic Approach

Matsubara, Akio; Yoneda, Tatsuaki; Nakamoto, Takahisa; Maruyama, Satoshi; Koda, Syuntaro; Goto, Keisuke; Teishima, Jun; Shiina, Hìroaki; Igawa, Mikio; Usui, Tsuguru

doi:10.1016/j.urology.2007.07.069

Cited by 39 publications

(23 citation statements)

References 11 publications

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“…[1][2][3][4][5][6][7][8] However, to the best of our knowledge, no study has compared the incidence of groin hernia repair with that of the background population.…”

mentioning

confidence: 99%

Incidence of Groin Hernia Repair After Radical Prostatectomy

et al. 2014

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An almost 4-fold increase in groin hernia repair was observed after radical prostatectomy compared with controls, and men who received radiation therapy had an almost 2-fold increase in incidence. As well as postoperative changes in the abdominal wall, increased vigilance for groin hernia seems to be important for the increased incidence of groin hernia repair seen after radical prostatectomy or radiation therapy for prostate cancer.

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“…[1][2][3][4][5][6][7][8] However, to the best of our knowledge, no study has compared the incidence of groin hernia repair with that of the background population.…”

mentioning

confidence: 99%

Incidence of Groin Hernia Repair After Radical Prostatectomy

et al. 2014

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“…The cumulative IH-free rate was significantly higher after an RPP than after an RRP (p Z 0.0001). 11 Abe et al reported that the incidence of postoperative IHs was 14.0% in LRPs. 12 It was greater with the extraperitoneal approach than with the transperitoneal approach.…”

Section: Discussionmentioning

confidence: 98%

Inguinal hernias in robotic-assisted laparoscopic radical prostatectomy: A surgeon’s experience

et al. 2011

Formosan Journal of Surgery

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Background/Introduction: The da Vinci robotic surgical system was developed to overcome the limitations of conventional laparoscopic surgery. Purpose/Aims: We retrospectively reviewed our experience in performing robot-assisted laparoscopic hernioplasty (RALH) during robot-assisted laparoscopic radical prostatectomy (RALP) based on a single surgeon's experience. Methods: From December 2005 to December 2008, a total of 100 patients with prostate cancer underwent RALPs by a single surgeon. We retrospectively reviewed the medical records and analyzed the patients' ages, body mass indices (BMI), levels of prostate-specific antigen, the biopsy percentage, the Gleason score and clinical stages of the biopsy specimens in 11 patients who had a RALP and a RALH simultaneously. The diagnosis of preoperative inguinal hernia (IH) was based on the results of a clinical physical examination, abdominal computed tomography or magnetic resonance imaging. The postoperative IHs were detected by the appearance of a protruding mass in the inguinal area on coughing, which was noticed during a physical examination. The total operative time, blood loss, type of the hernia, postoperative hospital stay, and the incidence of an IH after a RALP were evaluated. Results: Of the 100 patients, 89 (89%) received a RALP only, 11 underwent a RALP and a RALH simultaneously, 7% had a preoperative IH and 4% had a subclinical IH, which were found during operations. Three patients (3%) developed an IH during follow-up. There were no significant differences between the RALP group and RALP combined with the RALH group in terms of

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“…7 Although the most largely used approach for open radical prostatectomy is the retropubic, there are no randomized studies to date showing superiority over the perineal approach in terms of cancer control and continence rates. [9][10][11][12] Reported advantages of the perineal approach include shorter operative time and hospital stay, 13 lower cost for patients who do not need bilateral pelvic lymph node dissection (BPLND), 14 lower postoperative incidence of anastomotic stricture 15 and inguinal hernia, 16 as well as lower blood loss and transfusion rates. 9,13 In the perineal approach, there is no need for the penile dorsal vein complex sectioning.…”

Section: Discussionmentioning

confidence: 99%