Combined transurethral prostatectomy and inguinal hernioplasty

ABSTRACT

The purpose of the present study was to evaluate the combination of TURP and inguinal hernia repair with VyproII mesh in order to assess its safety, reliability and effectiveness in comparison with the patients undergoing TURP and hernioplasty sequentially. Thirty patients were randomly categorized into 2 groups through computer randomization program. Group I included 15 patients operated by TURP and inguinal hernioplasty in same session. Group II included 15 patients operated by TURP followed by inguinal hernioplasty in separate sessions. Mean operative time was 84.6 +/- 23.4 minutes in group I versus 95.5 +/- 15.3 minutes in group II. Mean hospitalization time was 3.07 +/- 0.46 days in group I and 4.07 +/- 0.59 days in group II. No significant increase in the complication rates was seen when the TURP and inguinal hernioplasty operations performed together. Hernia recurrence did not occur in either group. Hospitalization cost reduced by 26% on doing the two operations on the same session. Numerical patient satisfaction score 3 months after surgery was 8.87 +/- 0.99 for Group I patients versus 7.80 +/- 0.94 for Group II patients. We concluded that, Combined TURP and inguinal hernioplasty is a practical, safe and effective operative procedure that can reduce hospitalization cost. It allows patients to undergo only one anesthetic procedure, hospital admission and convalescence