Abarbanel J, Kimche D
Department of Urology, Golda Medical Center, Hasharon Hospital, Petah Tiqva, Israel.
J Urol. 1988 Dec;140(6):1442-4. doi: 10.1016/s0022-5347(17)42068-4.
Inguinal hernia and an enlarged prostate causing urinary obstruction are 2 disorders with a higher frequency among elderly patients. The anatomical proximity of an inguinal hernia to the enlarged prostate raises the possibility of joint, concurrent surgical treatment of both disorders. We report on the successful preperitoneal repair via a Pfannenstiel incision of 131 inguinal hernias in 97 patients who had undergone retropubic prostatectomy owing to benign enlargement of the prostate. Followup averaged 7 years and included 91 patients with 122 direct and indirect, unilateral or bilateral hernias. Summation of our results shows a low recurrence rate (4.9 per cent) and no complications in the wake of the combined operation. In our opinion prostatectomy combined concurrently with inguinal hernia repair via a preperitoneal retropubic approach should be applied routinely in urological practice.
腹股沟疝和前列腺肿大导致尿路梗阻是老年患者中发病率较高的两种疾病。腹股沟疝与肿大的前列腺在解剖位置上相近，增加了同时对这两种疾病进行联合手术治疗的可能性。我们报告了97例因前列腺良性肿大而接受耻骨后前列腺切除术的患者，通过Pfannenstiel切口成功进行腹膜前修补131例腹股沟疝的情况。随访平均7年，其中91例患者有122处直接和间接、单侧或双侧疝。我们的结果汇总显示复发率较低（4.9%），联合手术后无并发症。我们认为，在泌尿外科实践中应常规应用耻骨后腹膜前入路同时进行前列腺切除术和腹股沟疝修补术。
