To explore the clinical effect of transurethral resection of prostate (TURP) combined with tension-free herniorrhaphy in the treatment of prostatic hyperplasia with inguinal hernia.

150 patients with prostatic hyperplasia complicated with inguinal hernia were randomly divided into the combined group (75 cases) and the staging group (75 cases). TURP and tension-free hernioplasty was performed in the staging group by stages, while TURP combined with tension-free hernia repair was performed in the combined group at the first operation. The indexes of operation, hospitalization indexs, complications and postoperative follow-up were compared between the two groups.

The amount of intraoperative bleeding, hospital stays and hospital cost in the combined group were significantly lower than those in the control group (P<0.05). There was no significant difference in the quality of prostatectomy between the two groups (P>0.05). There was no significant difference in the operative time of tension-free hernia and TURP operation between the two groups (P>0.05). The incidence of complications and the maximum urinary velocity of (Qmax), were not significantly different between the two groups (P>0.05). There was no significant difference in residual urine volume and international prostate symptom score (IPSS) (P>0.05).

TURP combined with tension-free hernioplasty is effective in the treatment of prostatic hyperplasia with inguinal hernia. It can effectively reduce intraoperative bleeding, help patients recover early and reduce the burden of treatment. It has clinical application value.