A Study on Surgical Outcome of Transurethral Resection of Prostate and Concomitant Inguinal Hernioplasty in A Tertiary Centre Of Uttar Pradesh

Background: Older man faces benign enlargement of prostate leading to bladder outlet obstruction and difficulty in urination for which more abdominal force is applied. This causes combined presence of inguinal hernia with BPH and operating both in the same sitting may reduce post operative recovery and complications. This research tries to study the same. Material and Methods: A restrospective study was conducted in Dept. Of General Surgery, Dr BS Kushwah Institute of Medical Sciences, Kanpur from 2018 to 2024 and included 95 those patients who underwent TURP and inguinal hernia repair at the same sitting. Intra-operative and post operative complications were noted. Surgical characteristics such as post operative duration of hospital stay, duration of the surgery, duration of Foleys catheterization, recatheterization, intraoperative and postoperative complications etc were evaluated. This study also tried to know the efficacy of open versus laparoscopic hernioplasty. Results: Among the 95 cases of combined approach of inguinal hernioplasty and TURP the mean operative time was 3hr 31 minutes + 53 minutes with only 3 (3.2%) operative complications and no post operative stay complications. Mean post operative hospital stay was 3.5+ 1.0 days, recatheterization was in 11(11.6%) and 11(11.6%) discharged with Folley catheter. The mean operative time, duration of hospital stay, duration Folleys catheterization, analgesic and antibiotic use was significantly lesser (p<0.05) with laparoscopic hernioplasty compared to open hernioplasty. Conclusion: Surgical outcome of TURP and concomitant inguinal hernioplasty is better in terms of complications, operative and post operative recovery and patient morbidity is concerned. Even the efficacy of laparoscopic hernioplasty, in view of patient morbidity, is found to be better than open hernioplasty. So combined surgery i.e. TURP and hernioplasty specially laparoscopic hernioplasty is a better option than both surgeries done at interval.