To explore the effect of one-stage transurethral plasmakinetic resection combined with tension-free hernioplasty in the treatment of middle-aged and elderly patients with benign prostatic hyperplasia and inguinal hernia.

From June 2018 to June 2020, 60 cases of middle-aged and elderly patients with benign prostatic hyperplasia combined with inguinal hernia were randomly divided into control group (n=30, first transurethral plasmakinetic resection followed by flat mesh tension-free hernia repair) and observation group (n=30, one-stage transurethral plasmakinetic resection combined with flat mesh tension-free hernia). Operation cost, postoperative hospital stay, intraoperative blood loss, operation time, urodynamics, International Prostate Symptom Score (IPSS), complications and recurrence rate were compared between the two groups.

The operation cost and intraoperative blood loss of the observation group were significantly less than those of the control group (P<0.05); the postoperative hospitalization time of the observation group was significantly shorter than that of the control group (P<0.05); the RUV and bladder compliance of the observation group were higher than those of the control group (P<0.05); the Qmax and the maximum detrusor pressure in the observation group were lower than those in the control group (P<0.05); the incidence of complications and disease recurrence rate in the observation group were significantly lower than those in the control group (P<0.05).

One stage transurethral plasmakinetic resection combined with tension-free hernioplasty for the treatment of middle-aged and elderly patients with benign prostatic hyperplasia and inguinal hernia can obtain ideal effect, accelerate the recovery speed of patients, and promote the prognosis of patients, and it has great promotion value.