A Study to Compare Transurethral Resection of the Prostate and Inguinal Hernioplasty as Combined and Separate Procedures
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 5
Abstract
ABSTRACT Introduction: Chance of recurring hernia depends greatly on type of surgical procedure and hernia. Practising Transurethral Resection of Prostate (TURP), hernioplasty as combined procedure is not infrequent although separate process is more followed. The combined approach of surgery could save repeated anaesthesia complications and decrease recovery time. Aim: We appraise the result of TURP and inguinal hernia repair performed sequentially in a single session and compared to one when they are done separately. Materials and Methods: This was a prospective study conducted from April 2015 to August 2017 at Sri Ramachandra Institute of Higher Education and Research, formerly Sri Ramachandra University, Porur, Chennai. All patients with inguinal hernia and benign prostate hypertrophy, over the age of 18 years, were divided into two groups, of 25 patients each. The first group underwent TURP and inguinal hernioplasty sequentially in a single session and the second group underwent TURP followed by inguinal hernioplasty as two separate procedures with a gap of at least seven days. A detailed history, mode of presentation and clinical examination was done for all patients. Patients below 18 years or with a history of abdominal surgery or with other types of hernia were excluded from this study. Data were analysed by using SPSS version 19.0 (IBM, USA), using mean, percentage, frequency and standard deviation, ANOVA, paired t-test. Results: Group 1 had higher mean prostate volume (48.66±7.172) and post void residual (223.64±46.644) than Group II (32.34±32.654 and 190.84±44.534 respectively), which was significant. Comorbidities were insignificant between the groups. Mean operative time was longer for Group II (147.64±15.413) but not significantly higher than Group I (143.40±23.836). The mean length of hospital stay was significantly longer in Group II (9.44±1.557) than Group I (6.04±2.051). Patients in both groups had no significant difference in minor complication such as bleeding and clot retention. Conclusion: Combined TURP and inguinal hernioplasty is safe and an effective operative.
Authors and Affiliations
R Ponniah Iyyappan, Anjana Vasudevan, A Ravi, Harihara Sudhan
Keywords
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- EP ID EP583478
- DOI 10.7860/JCDR/2019/41371.12910
- Views 103
- Downloads 0
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