PREPERITONEAL INGUINAL HERNIOPLASTY IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA AND INGUINAL HERNIA

Abstract. An inguinal hernia is found in 3-25 % of patients undergoing surgery for benign prostatic hyperplasia. The possibility of one-time simultaneous hernioplasty during prostatectomy for benign prostatic hyperplasia and inguinal hernia is a topical issue in both urology and abdominal surgery. The purpose of the study: to present the technical aspects and results of simultaneous preperitoneal inguinal hernioplasty in patients with benign prostatic hyperplasia and inguinal hernia. Materials and methods. The results of treatment of 170 patients with benign prostatic hyperplasia, who underwent one-moment retropubic prostatectomy and simultaneous preperitoneal inguinal hernioplasty, are presented. The results. The average age of the patients of the comparison group was (68.0 ± 7.2) years, the main group – (967.4 ± 6.80) years; the average volume of the prostate in patients of the comparison group was (994.4 ± 42.30) cm3, in the main group — (92.2 ± 32.4) cm3. Among 58 inguinal hernias in 34 (58.6 %) cases they were oblique, 24 (41.4 %) were straight, right-sided hernias were more common in 38 (65.5 %) cases, left-sided hernias in 20 (34.5 %) cases. Hernias 1 st. (hernia gate less than 1.5 cm) noted in 8 (13.8 %) cases, 2 st. (hernia gate from 1.5 to 3 cm) – 35 (60.3 %), 3 st. (hernia gate more than 3 cm) – 15 (25.9 %). The average duration of retropubic prostatectomy in the main group of patients and the comparison group was the same ((81.6 ± 24.7) and (80.1 ± 17.4) minutes, respectively), and simultaneous hernioplasty on one side lasted an average of (34.7 ± 16.8) minutes. Conclusion. Performing simultaneous preperitoneal hernioplasty at the same time as one-time retropubic prostatectomy in patients with benign prostatic hyperplasia and inguinal hernia does not impair the immediate results of retropubic prostatectomy.