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KMID : 1033020150050010010
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Journal of Hemiology: Diagnosis and Treatment of Hernias
2015 Volume.5 No. 1 p.10 ~ p.14
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Preoperative Inguinal Evaluation by Imaging Studies Performed for Radical Retropubic Prostatectomies
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김동주:Kim Dong-Ju
박진우:Park Jin-Woo
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Abstract
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Purpose: Patients who underwent radical retropubic prostatectomies (RRPs) have an increased risk of developing inguinal hernias (IHs). The exact role of RRP in hernia development remains controversial. Subclinical IH not diagnosed before RRPs may contribute to the development of post-RRP IH. The aim of this study was to evaluate inguinal status to identify subclinical IH before RRP using preoperative imaging studies such as CT or MRI.
Methods: From Jan. 2012 to Sep. 2015, 125 patients who underwent RRPs at department of urology, Chungbuk National university hospital, were enrolled in this study. Preoperative abdomino-pelvic CT and/or MRI of these patients were reviewed.
Results: Twelve patients (9.6%) underwent inguinal hernia repairs during the mean follow-up period of 30.8±13.2 months after RRPs. Subclinical IH was diagnosed in 6 patients (4.8%) and suggested in an additional 5 patients (4.0%). Patients who underwent hernia repairs were significantly (P＜0.05) older than those who did not. Among 6 patients with subclinical IHs, only one patient was diagnosed before RRP and treated by TEP-like mesh repair at the same time. Additional 2 patients required hernia repairs after 5.5 and 21.8 months post RRPs.
Conclusion: Post-RRP IHs do not develop infrequently. Careful evaluation of inguinal status to identify subclinical IH before RRP using preoperative imaging studies might be able to decrease the incidence of post-RRP IHs
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KEYWORD
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Radical retropubic prostatectomy, Inguinal hernia, CT, MRI
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