Inguinal hernia after radical retropubic prostatectomy--experience of Kaohsiung Veterans General Hospital.
BACKGROUND
Radical retropubic prostatectomy is a potentially curative treatment for localized prostate cancer. This study aimed to examine the incidence of developing inguinal hernia after radical retropubic prostatectomy and its possible factors.


METHODS
From November 1990 to April 2002, there were 222 patients in Kaohsiung Veterans General Hospital who underwent radical retropubic prostatectomy and pelvic lymph node dissection for localized prostate cancer. Another 200 patients with prostate cancer who did not receive surgical intervention were enrolled as the control group. The medical charts were reviewed with an emphasis on the possible mechanisms causing inguinal hernia.


RESULTS
The period of follow-up ranged from 2 to 137 months, with a median of 54 months. There were a total of 15 (6.7%) patients who developed inguinal hernia after radical retropubic prostatectomy and pelvic lymph node dissection in our hospital. Post-prostatectomy anastomotic stricture was noted in 7 (46%) patients. Ten patients (67%) developed indirect type inguinal hernia. Only 4 (2%) inguinal hernias were found in the control group.


CONCLUSIONS
The incidence of inguinal hernia among patients undergoing radical retropubic prostatectomy and pelvic lymph node dissection was higher than that among patients without operation. Post-operative anastomotic stricture was the most important predisposing factor in the current study.
Tsai
Ping-Ju
PJ
Division of Urology, Department of Surgery, Kaohsiung Veterans General Hospital, National Yang Ming University School of Medicine, Taipei, Taiwan, ROC.
Yu
Chia-Cheng
CC
Lee
Ying-Huei
YH
Huang
Jong-Khing
JK
D000368:Aged; D006552:Hernia, Inguinal / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D015994:Incidence; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects*