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Outcomes of Minimally Invasive Inguinal Hernia Repair at the Time of Robotic Radical Prostatectomy.

Abstract Abdominal straining associated with voiding dysfunction or constipation has traditionally been associated with the development of abdominal wall hernias. Thus, classic general surgery dictum recommends that any coexistent bladder outlet obstruction should be addressed by the urologist before patients undergo surgical repair of a hernia. While organ-confined prostate cancer is usually not associated with the development of lower urinary tract symptoms, a modest proportion of patients treated with radical prostatectomy may have coexisting benign prostatic hyperplasia with elevated symptom scores and hernias may be incidentally detected at the time of surgery. Furthermore, dissection of the space of Retzius during retropubic or minimally invasive prostatectomy may result exposure of abdominal wall defects which may have been present, but asymptomatic if plugged with preperitoneal fat. Herein we examine the literature regarding the incidence of postoperative inguinal hernias after prostatectomy, review potential risk factors which could aid in preoperative patient identification, and discuss the published experience regarding concurrent hernia repair at the time of open or minimally invasive radical prostatectomy.
PMID
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Authors

Mayor MeshTerms
Keywords

Hernia

Prostatectomy

Robotic

Journal Title current urology reports
Publication Year Start




PMID- 28417428
OWN - NLM
STAT- MEDLINE
DA  - 20170418
DCOM- 20170501
LR  - 20170501
IS  - 1534-6285 (Electronic)
IS  - 1527-2737 (Linking)
VI  - 18
IP  - 6
DP  - 2017 Jun
TI  - Outcomes of Minimally Invasive Inguinal Hernia Repair at the Time of Robotic
      Radical Prostatectomy.
PG  - 43
LID - 10.1007/s11934-017-0690-y [doi]
AB  - Abdominal straining associated with voiding dysfunction or constipation has
      traditionally been associated with the development of abdominal wall hernias.
      Thus, classic general surgery dictum recommends that any coexistent bladder
      outlet obstruction should be addressed by the urologist before patients undergo
      surgical repair of a hernia. While organ-confined prostate cancer is usually not 
      associated with the development of lower urinary tract symptoms, a modest
      proportion of patients treated with radical prostatectomy may have coexisting
      benign prostatic hyperplasia with elevated symptom scores and hernias may be
      incidentally detected at the time of surgery. Furthermore, dissection of the
      space of Retzius during retropubic or minimally invasive prostatectomy may result
      exposure of abdominal wall defects which may have been present, but asymptomatic 
      if plugged with preperitoneal fat. Herein we examine the literature regarding the
      incidence of postoperative inguinal hernias after prostatectomy, review potential
      risk factors which could aid in preoperative patient identification, and discuss 
      the published experience regarding concurrent hernia repair at the time of open
      or minimally invasive radical prostatectomy.
FAU - Soto-Palou, Francois G
AU  - Soto-Palou FG
AD  - Robotic Urology and Oncology Institute and the Division of Urology, Department of
      Surgery, University of Puerto Rico School of Medicine, Suite 306, 400 F.D.
      Roosevelt Avenue, San Juan, PR, 00918, USA.
FAU - Sanchez-Ortiz, Ricardo F
AU  - Sanchez-Ortiz RF
AD  - Robotic Urology and Oncology Institute and the Division of Urology, Department of
      Surgery, University of Puerto Rico School of Medicine, The University of Texas MD
      Anderson Cancer Center, Suite 306, 400 F.D. Roosevelt Avenue, San Juan, PR,
      00918, USA. [email protected]
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Urol Rep
JT  - Current urology reports
JID - 100900943
SB  - IM
MH  - Hernia, Inguinal/diagnosis/*etiology/*surgery
MH  - Herniorrhaphy/*methods
MH  - Humans
MH  - Lower Urinary Tract Symptoms/complications
MH  - Male
MH  - Prostatectomy/adverse effects/methods
MH  - Prostatic Neoplasms/complications/*surgery
MH  - Risk Factors
MH  - Robotic Surgical Procedures/adverse effects/*methods
MH  - Urinary Bladder Neck Obstruction/complications
OTO - NOTNLM
OT  - Hernia
OT  - Prostatectomy
OT  - Robotic
EDAT- 2017/04/19 06:00
MHDA- 2017/05/02 06:00
CRDT- 2017/04/19 06:00
AID - 10.1007/s11934-017-0690-y [doi]
AID - 10.1007/s11934-017-0690-y [pii]
PST - ppublish
SO  - Curr Urol Rep. 2017 Jun;18(6):43. doi: 10.1007/s11934-017-0690-y.

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