Risk factors and prevention strategies of inguinal hernia after radical prostatectomy

VernacularTitle:前列腺癌根治术后腹股沟疝的风险因素及预防策略
Author: Lujie CHEN ¹ ; Dongyu YANG ¹ ; Chenxu MA ¹ ; Ming ZHANG ¹ ; Liang QIAO ^{1
,

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Author Information

1. School of Clinical Medicine, Weifang Medical University, Weifang 261000
2. Department of Urology, Weifang People's Hospital, Weifang 261000, China
Publication Type:Journal Article
Keywords: prostate cancer; radical prostatectomy; inguinal hernia; herniorrhaphy
From: Journal of Modern Urology 2024;29(10):923-923
CountryChina
Language:Chinese
Abstract: Inguinal hernia (IH) is a common complication in prostate cancer patients undergoing radical prostatectomy (RP), which seriously affects their quality of life.The repair of IH is often challenging due to the adhesion in the inguinal area caused by previous surgery.This article focuses on the risk factors for IH after RP, including surgical approach, postoperative anatomical changes, low body mass index (BMI), muscle loss, advanced age, international prostate symptom score (IPSS), and patent sheath process, and prevention strategies for IH after RP, including robot assisted laparoscopic radical prostatectomy (RARP) with IH repair, preservation of the posterior pubic space in RARP, treatment of the spermatic cord, extraperitoneal RARP, and intraoperative management of the sheath like process, aiming to provide reference for urologists and to improve patients' quality of life.