Abstract:
Objective To explore the clinical effect of plasma kinetic resection of prostate (PKRP) combined with tension-free herniorrhaphy in the treatment of benign prostatic hyperplasia (BPH) with inguinal hernia.
Methods 200 patients with BPH complicated with inguinal hernia underwent surgical treatment in the First People's Hospital of Liangjiang New District from January 2016 to May 2018 were selected as the study objects, the clinical data were retrospectively analyzed. PKRP and tension-free hernioplasty was performed by stages in the control group (n=95), with routine nursing in the two groups during perioperative period. While PKRP combined with tension-free hernia repair was performed in the observation group (n=105). Relevant indexes of operation were compared between the two groups, and the occurrence and recurrence of complications were counted between the two groups.
Results The postoperative hospitalization time of the observation group was significantly shorter than that of the control group, the amount of intraoperative bleeding and the cost of operation were significantly less than those of the control group (P<0.05), but the operation time of the two groups had no significant difference in the quality of prostatectomy (P>0.05). Compared with before operation, IPSS, RUV and maximum detrusor pressure decreased significantly in both groups at 6 months after operation, while Qmax and bladder compliance increased significantly, and there were significant differences between the two groups (P<0.05). There was no significant difference between the observation group and the control group in the total incidence and recurrence rate (P>0.05).
Conclusion PKRP combined with tension-free herniorrhaphy for simultaneous treatment of BPH with inguinal hernia can shorten the postoperative hospitalization time, and is beneficial to the recovery of prostate and bladder function, which is worth popularizing.
Key words:
Kinetic resection of prostate,
Tension-free herniorrhaphy,
Benign prostatic hyperplasia,
Inguinal hernia
Yingying He, Hong Ding. Clinical effect of PKRP combined with tension-free herniorrhaphy in the treatment of benign prostatic hyperplasia with inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(05): 448-451.