title: Laparoscopic Radical Prostatectomy Alone or With Laparoscopic Herniorrhaphy.
abstract: OBJECTIVE
  Prostate cancer and inguinal hernia are common health issues in men aged more than 50 years. Recently, more data are accumulating that laparoscopic radical prostatectomy (LRP) and laparoscopic inguinal hernia repair (LIHR) can be performed in the same operation. The purpose of this study was to compare patients who underwent simultaneous extraperitoneal LRP (E-LRP) and LIHR with control patients who underwent only E-LRP in a matched-pairs design.
  
  
  METHODS
  Medical records of 215 patients were evaluated, and 20 patients who underwent E-LRP+LIHR were compared with 40 patients who underwent only E-LRP in a matched-pairs analysis. Preoperative clinical parameters (age, body mass index, prostate-specific antigen, clinical stage, Gleason score of the prostate biopsy, and prostate volume) and operative data (operation time, duration of catheterization, length of hospital stay, estimated blood loss, time to perform the anastomosis and its quality, and the percentage of patients with bilateral lymphadenectomy) were evaluated, as well as postoperative parameters (pathological stage, Gleason score, specimen weight, follow-up duration, biochemical recurrence, complication rates, and duration of postoperative analgesic treatment).
  
  
  RESULTS
  No statistically significant differences were found in the preoperative and operative parameters between the 2 study groups. Pathological parameters and the follow-up period and complication rates were similar between the 2 groups.
  
  
  CONCLUSIONS
  Performing LIHR and E-LRP during the same operation is safe and feasible in the treatment of patients with prostate cancer and inguinal hernia.
authors.affiliation: Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey.
authors.forename: Orcun
authors.initials: O
authors.lastname: Celik
authors.affiliation: Department of Urology, Selcuk University, School of Medicine, Konya, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Akand
authors.affiliation: Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Ekin
authors.affiliation: Department of Urology, Medical Park Antalya Hospital, Antalya, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Duman
authors.affiliation: Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey.
authors.forename: Yusuf Ozlem
authors.initials: YO
authors.lastname: Ilbey
authors.affiliation: Minimally Invasive Urology and Robotics Center, Department of Urology, Memorial Atasehir Hospital, Istanbul, Turkey.
authors.forename: Tibet
authors.initials: T
authors.lastname: Erdogru
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D005240:Feasibility Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D016555:Matched-Pair Analysis; D008875:Middle Aged; D017430:Prostate-Specific Antigen / Q000097:blood; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*
chemical_list: D017430:Prostate-Specific Antigen
keywords: Extraperitoneal radical prostatectomy; Herniorrhaphy; Inguinal hernia; Laparoscopy