Efficacy and safety of tension-free inguinal hernia repair combined with TUPKP for patients with inguinal hernia complicated with BPH

doi:10.3877/cma.j.issn.1674-392X.2021.06.014

Abstract

Abstract:

Objective

To explore the efficacy and safety of tension-free hernioplasty combined with transurethral plasma bipolar prostatectomy (TUPKP) in patients with inguinal hernia and benign prostatic hyperplasia (BPH).

Methods

The data of 86 patients with inguinal hernia and BPH treated in Wuhan Third Hospital from January 2015 to February 2018 was collected and retrospective analyzed. TUPKP combined with laparoscopic trans-abdominal preperitoneal hernia repair (TAPP) was performed at the same time. The surgical condition, urodynamics, prostate symptoms, quality of life (QOL) and complications after operation were evaluated.

Results

86 patients successfully completed the operation. The average operation time was 60~151 (85.26±14.17) minutes, bladder irrigation time was (27.74±3.05) minutes, bleeding volume was (174.29±19.73) ml, indwelling time of ureter was (4.66±1.07) days, and postoperative hospitalization time was (6.21±1.04) days. Compared with preoperative, the scores of international prostate symptom score (IPSS) and QOL, residual urine volume (RUV) and maximum detrusor pressure decreased, and maximum urine flow (Qmax) and bladder compliance increased, with statistical differences (P<0.05). Follow-up of 6 months after operation showed that there was no incision infection, chronic pain, urinary incontinence and recurrence. There were 3 cases postoperative urinary retention (3.49%) and 11 cases of seroma (12.79%).

Conclusion

TAPP combined with TUPKP in the simultaneous treatment of inguinal hernia complicated with BPH is safe and effective, and can improve the quality of life of patients.

Key words: Benign prostatic hyperplasia, Hernia, inguinal, Transurethral plasma bipolar prostatectomy, Herniorrhaphy, Complications

Shengli Pei, Chao Ke, Fangfang Wang, Yanling Ruan, Xingwang Xie. Efficacy and safety of tension-free inguinal hernia repair combined with TUPKP for patients with inguinal hernia complicated with BPH[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(06): 599-603.

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References 21

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时间	IPSS评分	QOL评分
术前	23.97±3.26	5.28±1.01
术后6个月	5.84±0.75	1.41±0.22
t值	-50.260	-34.719
P值	<0.001	<0.001

时间	IPSS评分	QOL评分
术前	23.97±3.26	5.28±1.01
术后6个月	5.84±0.75	1.41±0.22
t值	-50.260	-34.719
P值	<0.001	<0.001

时间	Qmax(ml/s)	RUV(ml)	膀胱顺应性(ml/cmH₂O)	最大逼尿肌压(cmH₂O)
术前	6.46±0.79	151.83±22.69	12.51±2.73	95.06±10.25
术后6个月	22.64±4.17	12.71±3.25	22.32±3.81	62.13±8.76
t值	35.353	-56.285	19.409	-22.649
P值	<0.001	<0.001	<0.001	<0.001

时间	Qmax(ml/s)	RUV(ml)	膀胱顺应性(ml/cmH₂O)	最大逼尿肌压(cmH₂O)
术前	6.46±0.79	151.83±22.69	12.51±2.73	95.06±10.25
术后6个月	22.64±4.17	12.71±3.25	22.32±3.81	62.13±8.76
t值	35.353	-56.285	19.409	-22.649
P值	<0.001	<0.001	<0.001	<0.001

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