Simultaneous Management of Inguinal Hernia and Benign Prostatic Hypertrophy in a Single Operation at the Chu D’abeche/Chad

Vadandi Valentin, Mahamat Ali Mahamat, Ndormadjita Allah Siyangar, Temga Ouang Michael, Vounouzia Barthelemy, Mingue Koldimadji, Abdelmahamoud Chene, Odzebe Anani Wencesl Séverin
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Abstract

Introduction: Benign prostatic hypertrophy and inguinal hernia are related and frequent pathologies in people over 50 years old. Their incidence is 15% to 25% according to the literature. The occurrence of hernia during benign prostatic hyperplasia is favored by disorders of the lower urinary tract. Simultaneous single-stage treatment of these two pathologies makes it possible to obtain satisfactory results that can reduce the cost of hospital stay and the multiple risk of anesthesia. The aim of our study was to: 1) Report the epidemiological, anatomo-clinical and para-clinical aspects of hernias during benign prostatic hypertrophy; 2) Evaluate the feasibility and the results of the combined treatment of inguinal hernia and prostatic adenectomy in a single operation. Patients and Method: This was a retrospective descriptive study over a period of 7 years from March 2014 to February 2021, including patients operated on simultaneously at the University Hospital of Abeche for inguinal hernia and benign prostatic hypertrophy. The variables studied were: age, antecedents, favouring factors, clinical symptomatology, para-clinical elements, treatments and results: Results: 356 patients underwent surgery for benign prostatic hyperplasia, 36 of whom had an associated inguinal hernia. The mean age was 65.5 years, ranging from 50 to 93 years. The main reason for consultation was chronic urinary retention. The average consultation time was 10.2 months. The inguinal hernia was located on the right in 51% of cases and on the left in 18.4%. The mean prostatic volume measured by suprapubic ultrasound was 60.5 ± 25 cc. 14% and 10.2% of patients respectively were found to have struggle bladder and bilateral ureterohydronephrosis. Transvesical suprapubic adenectomy of the prostate was performed in all patients. The Bassini technique was the most commonly used (91%) for hernia repair. The average hospital stay was 7.5 days. Conclusion: Simultaneous treatment of benign prostatic hypertrophy and inguinal hernia reduces the number of hospital admissions in elderly patients, as well as the length of hospital stay.
一次手术同时治疗腹股沟疝和良性前列腺肥大在Chu D 'abeche /Chad
前言:良性前列腺肥大与腹股沟疝是50岁以上人群中相关且常见的病变。根据文献,其发病率为15%至25%。良性前列腺增生时疝气的发生常与下尿路疾病有关。这两种病理同时单阶段治疗,可以获得满意的结果,可以减少住院费用和麻醉的多重风险。本研究的目的是:1)报告良性前列腺肥大时疝的流行病学、解剖临床和准临床特征;2)评价腹股沟疝与前列腺腺切除术一次手术联合治疗的可行性及效果。患者和方法:这是一项回顾性描述性研究,从2014年3月到2021年2月,为期7年,包括在阿贝什大学医院同时手术治疗腹股沟疝和良性前列腺肥大的患者。研究的变量包括:年龄、病史、有利因素、临床症状、临床辅助因素、治疗方法和结果:结果:356例患者接受了良性前列腺增生手术,其中36例伴有腹股沟疝。年龄50 ~ 93岁,平均65.5岁。就诊的主要原因是慢性尿潴留。平均就诊时间为10.2个月。腹股沟疝位于右侧的占51%,位于左侧的占18.4%。耻骨上超声测得的平均前列腺体积为60.5±25cc,分别有14%和10.2%的患者存在挣扎膀胱和双侧输尿管肾积水。所有患者均行经膀胱耻骨上前列腺腺切除术。Bassini技术是疝修补中最常用的(91%)。平均住院时间为7.5天。结论:良性前列腺肥大合并腹股沟疝同时治疗可减少老年患者住院次数,缩短住院时间。
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