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Causative factors for de novo inguinal hernia after robot-assisted radical prostatectomy

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Abstract

To determine causative factors for de novo inguinal hernia (IH), after robot-assisted radical prostatectomy (RARP). This was a retrospective, single-center study, which included patients undergoing RARP for prostate cancer at our institution, from February 2012 to January 2015. Cox proportional hazards models were used to determine the relationships between de novo IH and various factors. A total of 284 patients were included in the analysis. Forty-two (14.7%) patients developed IH at a median period of 8 months after RARP. On multivariate analysis, preoperative international prostate symptom score question 6 > 2, and a patent processus vaginalis were significantly correlated with de novo IH (hazard ratio (HR) 4.17, 95% confidence interval (CI) 2.07–8.37, p < 0.001; HR 3.67, 95% CI 2.36–5.69, p < 0.001). Preoperative urinary straining and a patent processus vaginalis were predictive of de novo IH after RARP.

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Acknowledgements

No financial support for this study was provided.

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Authors and Affiliations

  1. Department of Urology, Nagoya University Graduate School of Medicine, 65, Tsuruma-cho, Showa-ku, Nagoya-Shi, Aichi-ken, Japan

    Tsuyoshi Majima, Yasushi Yoshino, Yoshihisa Matsukawa, Yasuhito Funahashi, Naoto Sassa, Masashi Kato & Momokazu Gotoh

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  1. Tsuyoshi Majima
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  2. Yasushi Yoshino
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  3. Yoshihisa Matsukawa
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  4. Yasuhito Funahashi
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  5. Naoto Sassa
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  6. Masashi Kato
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  7. Momokazu Gotoh
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Corresponding author

Correspondence to Tsuyoshi Majima.

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Conflict of interest

All of the authors declare that they have no conflict of interest.

Ethical approval

This study was performed according to the ethical principles of the Declaration of Helsinki and approved by the ethics committee of Nagoya University Graduate School of Medicine (institutional review board approval No. 2016-0380).

Informed consent

Since only anonymized data were used in this study, informed consent was not obtained from patients.

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Majima, T., Yoshino, Y., Matsukawa, Y. et al. Causative factors for de novo inguinal hernia after robot-assisted radical prostatectomy. J Robotic Surg 12, 277–282 (2018). https://doi.org/10.1007/s11701-017-0729-6

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  • DOI: https://doi.org/10.1007/s11701-017-0729-6

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