Skip to main content

Advertisement

SpringerLink
Log in

Prophylactic procedure for inguinal hernia after radical retropubic prostatectomy

  • Original Article
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Purpose

The incidence of inguinal hernias (IH) after radical retropubic prostatectomy (RRP) has been reported to range from 10 to 50 %, but no prophylaxis for IH has yet been established. We proposed a prophylaxis for IH after RRP.

Methods

A total of 180 patients underwent RRP at our hospital between 2000 and 2011. In January 2008, we started to perform a prophylaxis involving the dissection of the processus vaginalis. This procedure was performed in 73 patients. We then compared the incidence of IH between the patients that did (prophylaxis group) and did not (no prophylaxis group) undergo the prophylaxis. We also studied the risk factors for IH after RRP.

Results

In the no prophylaxis group, 25 (23 %) of the 107 patients developed IH, and the IH-free rate at one postoperative year was 86 %. In contrast, only 3 (4.1 %) of the 73 patients in the prophylaxis group developed IH, resulting in IH-free rate of 96 % at one postoperative year (P = 0.0235). Among the patients in the no prophylaxis group, the mean body mass index of the hernia group was significantly lower than that of the no hernia group (P = 0.006).

Conclusion

Our results suggest that our prophylaxis is useful for preventing IH after RRP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Kawakami S, Kihara K (2009) Surgical practice for urological tumors: nation-wide survey in Japan in 2005. Int J Urol 16:257–262

    Article  PubMed  Google Scholar 

  2. Walsh PC (2000) Radical prostatectomy for localized prostate cancer provides durable cancer control with excellent quality of life: a structured debate. J Urol 163:1802–1807

    Article  CAS  PubMed  Google Scholar 

  3. Regan TC, Mordlkin RM, Constantinople NL, Spence IJ, Dejter SW (1996) Incidence of inguinal hernias following radical retropubic prostatectomy. Urology 47:536–537

    Article  CAS  PubMed  Google Scholar 

  4. Abe T, Shinohara N, Harabayashi T, Sazawa A, Suzuki S, Kawarada Y, Nonomura K (2007) Postoperative inguinal hernia after radical prostatectomy for prostate cancer. Urology 69:326–329

    Article  PubMed  Google Scholar 

  5. Twu CM, Ou YC, Yang CR, Cheng CL, Ho HC (2005) Predicting risk factors for inguinal hernia after radical retropubic prostatectomy. Urology 66:814–818

    Article  PubMed  Google Scholar 

  6. Ichioka K, Yoshimura K, Utsunomiya N, Ueda N, Matsui Y, Terai A, Arai Y (2004) High incidence of inguinal hernia after radical retropubic prostatectomy. Urology 63:278–281

    Article  PubMed  Google Scholar 

  7. Lodding P, Bergdahl C, Nyberg M, Pileblad E, Stranne J, Hugosson J (2001) Inguinal hernia after radical retropubic prostatectomy for prostate cancer: a study of incidence and risk factors in comparison to no operation and lymphadenectomy. J Urol 166:964–967

    Article  CAS  PubMed  Google Scholar 

  8. Stranne J, Hugosson J, Lodding P (2006) Post-radical retropubic prostatectomy inguinal hernia: an analysis of risk factors with special reference to preoperative inguinal hernia morbidity and pelvic node dissection. J Urol 176:2072–2076

    Article  PubMed  Google Scholar 

  9. Rutkow IM (1998) Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s. Surg Clin N Am 78:941–951

    Article  CAS  PubMed  Google Scholar 

  10. Sakai Y, Okuno T, Kijima T, Iwai A, Matsuoka Y, Kawakami S, Kihara K (2009) Simple prophylactic procedure of inguinal hernia after radical retropubic prostatectomy: isolation of the spermatic cord. Int J Urol 16:848–851

    Article  PubMed  Google Scholar 

  11. Fujii Y, Yamamoto S, Yonese J, Kawakami S, Okubo Y, Suyama T, Komai Y, Kijima T, Fukui I (2010) A novel technique to prevent postradical retropubic prostatectomy inguinal hernia: the processus vaginalis transaction method. Urology 75:713–717

    Article  PubMed  Google Scholar 

  12. Nielsen ME, Walsh PC (2005) Systematic detection and repair of subclinical inguinal hernias at radical retropubic prostatectomy. Urology 66:1034–1037

    Article  PubMed  Google Scholar 

  13. Nilsson H, Stranne J, Stattin PS, Nordin P (2013) Incidence of groin hernia repair after radical prostatectomy. A population-based nationwide study. Ann Surg 00:1–5

    CAS  Google Scholar 

  14. Stranne J, Aus G, Berdahl S, Damber JE, Hugosson J, Khatami A, Lodding P (2010) Post-radical prostatectomy inguinal hernia: a simple surgical intervention can substantially reduce the incidence-results from a prospective randomized trial. J Urol 184:984–989

    Article  PubMed  Google Scholar 

  15. Stranne J, Lodding P (2011) Inguinal hernia after radical retropubic prostatectomy: risk factors and prevention. Nat Rev Urol 8:267–273

    Article  PubMed  Google Scholar 

  16. Zhu S, Zhang H, Xie L, Chen J, Niu Y (2013) Risk factors and prevention of inguinal hernia after radical prostatectomy: a systematic review and meta-analysis. J Urol 189:884–890

    Article  PubMed  Google Scholar 

  17. Sekita N, Suzuki H, Kamijima S, Chin K, Fujimura M, Mikami K, Ichikawa T (2009) Incidence of inguinal hernia after prostate surgery: open radical retropubic prostatectomy versus open simple prostatectomy versus transurethral resection of the prostate. Int J Urol 16:110–113

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

RM, MN, HH and HS declare no conflict of interest. KA declares conflict of interest not directly related to the submitted work, payment for lectures including service on speaker bureaus.

Author information

Authors and Affiliations

  1. Department of Surgery, Tokyo Kosei Nenkin Hospital, Tokyo, Japan

    R. Matsunaga, M. Negishi, H. Higashi & H. Shida

  2. Department of Urology, Tokyo Kosei Nenkin Hospital, Tokyo, Japan

    K. Akakura

Authors
  1. R. Matsunaga
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Negishi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Higashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. H. Shida
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. K. Akakura
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. Matsunaga.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Matsunaga, R., Negishi, M., Higashi, H. et al. Prophylactic procedure for inguinal hernia after radical retropubic prostatectomy. Hernia 19, 785–788 (2015). https://doi.org/10.1007/s10029-014-1323-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-014-1323-8

Keywords

Search

Navigation