Is the rate of complications in simultaneous inguinal hernia repair and extraperitoneal simple prostatectomy using laparoscopic approach increased compared to simple prostatectomy alone?

Introduction.. The correlation between inguinal hernia and benign prostatic hyperplasia (BPH) is well known. Minimal invasive simple prostatectomy (MISP) may be method of choice for surgical treatment of BPH with volume more than 80 cc. Literature review has revealed retrospective studies of laparoscopic or robot-assisted radical prostatectomy with simultaneous inguinal hernia repair and acceptable complication rate. Open simple and radical prostatectomy provide the same results. Similar studies for MISP have not been found.

Aim. To evaluate the rate of complications of simultaneous laparoscopic hernioplasty of inguinal hernia and MISP compared to MISP alone.

Materials and methods. The data of 79 patients, who underwent MISP, were analyzed retrospectively. The two groups were formed. In the group I, only MISP (n=34) was performed. In the group II, MISP and simultaneous inguinal hernia repair (n=17) were done, including three bilateral and other unilateral procedure. Three patients in group II additionally underwent simultaneous cystolithotomy. The same surgical approach was used for both groups. The Fisher’s exact test was used for statistical analysis.

Results. There were no significant differences (p>0.005) in mean age of patients (68 vs. 71 years), volume of blood loss (416 vs. 238 ml), duration of procedure (190 vs. 221 min) and complications rates (11.7% vs. 5.8%) between two groups. The mean prostate volume was 128 cc in both groups.

Conclusions. Simultaneous MISP and laparoscopic inguinal hernioplasty in patients with BPH does not result in higher complication rate compared to MISP.