良性前列腺增生并发腹股沟疝同期手术的不同术式比较

目的 :探讨良性前列腺增生 (BPH)并发腹股沟疝的同期手术的最佳术式。方法 :对同期手术治疗的4 1例BPH并发腹股沟疝患者 ,经尿道前列腺电切术 (TURP)加疝修补术 2 1例 (第 1组 ) ;耻骨上V形切口行耻骨上经膀胱前列腺切除术 (SPP)加疝修补术 6例 (第 2组 ) ;下腹部纵行切口行SPP加腹膜前疝修补术 10例 (第 3组 ) ;下腹部纵行切口行SPP加腹股沟斜切口疝修补术 4例 (第 4组 )。结果 :随访 2个月～ 5年 ,第 3组有 3例疝复发 ,其它各组未见疝复发。手术切口感染及其它手术并发症在各组中均未发生。术后住院时间第 1组明显低于其它各组 (P <0 .0 1)。结论 :在BPH并发腹股沟疝的同期手术中 ,疝修补术加TURP应为首选 ,如BPH需开放手术 ,采用耻骨上V形切口行SPP加疝修补术为简单有效的术式

Simultaneous surgical treatment of benign prostatic hyperplasia and inguinal hernia:A comparative evaluation of different combined procedures

Objective:To determine the best combined procedure for the simultaneous surgical treatment of benign prostatic hyperplasia (BPH) and inguinal hernia.Method:41 patients with BPH and inguinal hernia were retrospectively analyzed. These patients were divided into four groups: group 1 (n=21), treated with transurethral resection of the prostate (TURP) combined with herniorrhaphy; group 2 (n=6), treated with suprapubic transvesical prostatectomy (SPP) combined with herniorrhaphy via a Turner-Warwick incision; group 3 (n=10), treated with SPP combined with preperitoneal herniorrhaphy via a lower abdominal median incision; group 4 (n=4), treated with SPP via a lower abdominal median incision combined with herniorrhaphy via a low oblique inguinal incision.Result:All patients have been followed up for 2 months to 5 years. 3 patients had recurrence of hernia in group 3, while no patients d id in other groups. All patients had no wound infection or other complications. The length of hospitalization was shorter in group 1 (P< 0.01).Conclusion:Our results implied that the combined procedure of TURP and herniorrhaphy should be the best method of the simultaneous surgical treatment of BPH and inguinal hernia. If open surgery was necessary to BPH, prostatectomy combined with herniorrhaphy via a Turner-Warwick incision was a simple and effective method.