Method of open simultaneous pre-peritoneal inguinal hernia repair by mesh implant in patients with benign prostatic hyperplasia and inguinal hernia

Annotation. In 5-15% of patients with benign prostatic hyperplasia, an inguinal hernia is detected, which is an indication for prostatectomy and simultaneous pre-peritoneal inguinal hernioplasty. An operation performed on two or more organs from a single access (incision) is considered simultaneous. The aim of the work – present the method of open simultaneous pre-peritoneal inguinal hernioplasty with a mesh implant in patients with benign prostatic hyperplasia and inguinal hernia. The study included 10 patients who, in the period from January 2024 to November 2024, underwent 10 simultaneous prostatectomies and 11 primary simultaneous pre-peritoneal inguinal hernioplasty with a polypropylene mesh implant in the Urology Department of the Vinnytsia Regional Clinical Hospital (in 1 patient, simultaneous inguinal hernioplasty was performed on both sides). There were 7 right-sided inguinal hernias, and 4 left-sided ones. The results of the study showed that the average duration of simultaneous pre-peritoneal inguinal hernioplasty with a polypropylene mesh implant on one side was about 30-35 minutes. No complications were observed after the operation. So simultaneous pre-peritoneal hernioplasty has not only an economic, but also a psychological effect, and also contributes to the improvement of the patient's quality of life.