title: Totally extraperitoneal inguinal hernia repair during extraperitoneal laparoscopic radical prostatectomy: Report of a case.
abstract: BACKGROUND
  The incidence of prostate cancer is increasing, and inguinal hernias are common in the age group of men with prostate cancer. Furthermore, inguinal hernias are now considered to be one of the long-term complications of radical prostatectomy. In this report, we present our experience with the performance of totally extraperitoneal inguinal hernia repair (TEP) along with extraperitoneal laparoscopic radical prostatectomy (ELRP).
  
  
  METHODS
  A 66-year-old man with prostate cancer and bilateral inguinal hernias was admitted to our hospital for surgery. He had a history of right inguinal hernioplasty without mesh placement and ascending colon diverticulitis. With a diagnosis of prostate cancer and bilateral inguinal hernia, concomitant TEP after ELRP was safely performed.
  
  
  CONCLUSIONS
  TEP combined with ELRP appears to be a rational procedure and easy to perform. The incidence of complications related to either TEP or ELRP might not be increased. TEP combined with ELRP might be safely performed for recurrent inguinal hernia after non-mesh hernioplasty.
  
  
  CONCLUSIONS
  TEP combined with ELRP might be of use in prostate cancer patients with inguinal hernias.
authors.affiliation: Departments of Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennoujiku, Osaka 543-0035, Japan. Electronic address: wakasugi@oph.gr.jp.
authors.forename: Masaki
authors.initials: M
authors.lastname: Wakasugi
authors.affiliation: Departments of Surgery and Urology, Osaka Police Hospital, Osaka, Japan.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: Departments of Surgery and Urology, Osaka Police Hospital, Osaka, Japan.
authors.forename: Sayaka
authors.initials: S
authors.lastname: Jo
authors.affiliation: Departments of Surgery and Urology, Osaka Police Hospital, Osaka, Japan.
authors.forename: Shingo
authors.initials: S
authors.lastname: Takada
authors.affiliation: Departments of Surgery and Urology, Osaka Police Hospital, Osaka, Japan.
authors.forename: Kiyomi
authors.initials: K
authors.lastname: Matsumiya
authors.affiliation: Departments of Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennoujiku, Osaka 543-0035, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Tori
authors.affiliation: Departments of Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennoujiku, Osaka 543-0035, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Akamatsu
keywords: Extraperitoneal laparoscopic radical prostatectomy (ELRP); Inguinal hernia; Prostate cancer; Totally extraperitoneal inguinal hernia repair (TEP)