ONE-STAGE PROSTATECTOMY ACCOMPANIED BY HERNIOPLASTY TO IMPROVE QUALITY-OF-LIFE OUTCOMES OF PATIENTS WITH COMBINED SURGICAL PATHOLOGIES

Abstract

The aim: To evaluate whether simultaneous inguinal hernioplasty during prostatectomy confers benefits on quality-of-life outcomes. Materials and methods: 152 patients with prostatic adenoma were observed. The general group included 32 (21%) patients with prostatic adenoma and hernia inguinalis, who underwent one-stage prostatectomy accompanied with hernioplasty. 120 (79%) persons of comparison group underwent a prostatectomy only. The average age of the comparison group was 68.0±7.0 years, the general group - 67.1±6.9 years; the average prostate volume was 94.4±42.3 cm3 and 91.2±32.6 cm3 respectively. Hernia inguinalis was in 32 patients of the general group, in 4 of them - on both sides (36 cases totally). Results: The average time of retropubic prostatectomy in both groups was the same, and simultaneous hernioplasty took 35.0±17.4 minutes. The frequency of early and late bleeding after prostatectomies in the general group was 6.25% (2 cases) and 7.5% (9 cases) in the comparison group. No deaths were noted in two groups. The quality-of-life outcomes after the one-stage prostatectomy accompanied with hernioplasty in 6 and 12 months were statistically better than before these operations. Conclusions: Performing one-stage prostatectomy accompanied with hernioplasty does not worsen the immediate and long-term results of operation, instead it helps to eliminate two diseases at the same time from one surgical approach.