title: Radical prostatectomy in patients with previous groin hernia repair using synthetic nonabsorbable mesh.
abstract: OBJECTIVE
  Identification of patients in whom the perineal route is the optimal approach to perform radical prostatectomy.
  
  
  METHODS
  During 1992-1999, 376 patients with prostate cancer underwent radical perineal prostatectomy. Four patients were identified in whom the perineal approach was indicated because of previous bilateral groin hernia repair using synthetic meshes. In addition, 1 patient underwent perineal prostatectomy elsewhere for similar reasons.
  
  
  RESULTS
  The perineal approach offered an uneventful surgical solution for an adequate and straightforward radical perineal prostatectomy without complications and without biochemical recurrence during the follow-up.
  
  
  CONCLUSIONS
  Radical perineal prostatectomy is suggested to be the optimal approach in patients with previous bilateral groin hernia repair using synthetic, nonabsorbable meshes.
authors.affiliation: Urologic Clinic, University Clinic of RWTH Aachen, Pauwelsstrasse 30, D-52057 Aachen, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Borchers
authors.forename: B
authors.initials: B
authors.lastname: Brehmer
authors.forename: H
authors.initials: H
authors.lastname: van Poppel
authors.forename: G
authors.initials: G
authors.lastname: Jakse
mesh_terms: D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D013526:Surgical Mesh