Faculty Collaboration Database

Laparoscopic mesh herniorrhaphy: impact on outcomes associated with radical retropubic prostatectomy. Urol Oncol 2011;29(1):66-9

Date

10/20/2009

Pubmed ID

19837615

DOI

10.1016/j.urolonc.2009.06.006

Scopus ID

2-s2.0-78650677465 (requires institutional sign-in at Scopus site)   5 Citations

Abstract

OBJECTIVES: Laparoscopic herniorrhaphy employing non-absorbable mesh (LMH) is a frequently performed procedure for groin hernia. Multiple case reports in the urologic literature have identified LMH as a complicating factor in patients undergoing open radical retropubic prostatectomy (RRP) for prostate cancer. The purpose of this study was to review our experience and outcomes in patients with a prior LMH undergoing open RRP.

METHODS: After institutional review board approval, a retrospective review of all open RRPs performed by a single surgeon between 2003 and 2008 was used to identify patients with a history of a prior LMH. The outcomes of these patients were compared with a contemporary cohort of patients undergoing RRP by the same surgeon.

RESULTS: Eighteen patients with a prior LMH underwent RRP. Five of the 18 had bilateral LMH, with unilateral LMH in the remainder. Outcomes in this group were compared with 38 patients without prior LMH. There was no difference between the groups in terms of age, preoperative PSA, prostate size, preoperative Gleason score, or body mass index, and RRP was successfully performed in all 18 LMH patients. One of 18 patients had a postoperative complication (persistent JP drainage). Compared with the control group, differences in operative time and blood loss bordered on statistical significance.

CONCLUSIONS: Prior LMH is not a contraindication to RRP. While resulting in slightly longer operating times and higher blood loss, our experience suggests that RRP can be safely performed in these patients.

Author List

Neff DA, See WA

MESH terms used to index this publication - Major topics in bold

Feasibility Studies
Hernia, Inguinal
Humans
Laparoscopy
Male
Middle Aged
Postoperative Complications
Prognosis
Prostatectomy
Prostatic Neoplasms
Retrospective Studies
Surgical Mesh
Survival Rate