Outcomes of Minimally Invasive Inguinal Hernia Repair at the Time of Robotic Radical Prostatectomy

  • Francois G. Soto-Palou
  • Ricardo F. Sánchez-Ortiz
Minimally Invasive Surgery (T Guzzo, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Minimally Invasive Surgery

Abstract

Abdominal straining associated with voiding dysfunction or constipation has traditionally been associated with the development of abdominal wall hernias. Thus, classic general surgery dictum recommends that any coexistent bladder outlet obstruction should be addressed by the urologist before patients undergo surgical repair of a hernia. While organ-confined prostate cancer is usually not associated with the development of lower urinary tract symptoms, a modest proportion of patients treated with radical prostatectomy may have coexisting benign prostatic hyperplasia with elevated symptom scores and hernias may be incidentally detected at the time of surgery. Furthermore, dissection of the space of Retzius during retropubic or minimally invasive prostatectomy may result exposure of abdominal wall defects which may have been present, but asymptomatic if plugged with preperitoneal fat. Herein we examine the literature regarding the incidence of postoperative inguinal hernias after prostatectomy, review potential risk factors which could aid in preoperative patient identification, and discuss the published experience regarding concurrent hernia repair at the time of open or minimally invasive radical prostatectomy.

Keywords

Hernia Robotic Prostatectomy 

Notes

Compliance with Ethical Standards

Conflict of Interest

Francois G. Soto-Palou and Ricardo F. Sánchez-Ortiz each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Francois G. Soto-Palou
    • 1
  • Ricardo F. Sánchez-Ortiz
    • 2
  1. 1.Robotic Urology and Oncology Institute and the Division of Urology, Department of SurgeryUniversity of Puerto Rico School of MedicineSan JuanUSA
  2. 2.Robotic Urology and Oncology Institute and the Division of Urology, Department of SurgeryUniversity of Puerto Rico School of Medicine, The University of Texas MD Anderson Cancer CenterSan JuanUSA

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