Radical prostatectomy in patients with previous groin hernia repair using synthetic nonabsorbable mesh.

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H Borchers, B Brehmer, H van Poppel, G Jakse

Author Information

H Borchers: Urologic Clinic, University Clinic of RWTH Aachen, Pauwelsstrasse 30, D-52057 Aachen, Germany.

PMID: 11598448 DOI: 10.1159/000050990

OBJECTIVE: Identification of patients in whom the perineal route is the optimal approach to perform radical prostatectomy.
MATERIAL AND METHODS: During 1992-1999, 376 patients with prostate cancer underwent radical perineal prostatectomy. Four patients were identified in whom the perineal approach was indicated because of previous bilateral groin hernia repair using synthetic meshes. In addition, 1 patient underwent perineal prostatectomy elsewhere for similar reasons.
RESULTS: The perineal approach offered an uneventful surgical solution for an adequate and straightforward radical perineal prostatectomy without complications and without biochemical recurrence during the follow-up.
CONCLUSION: Radical perineal prostatectomy is suggested to be the optimal approach in patients with previous bilateral groin hernia repair using synthetic, nonabsorbable meshes.

Hernia, Inguinal

Humans

Male

Prostatectomy

Prostatic Neoplasms

Retrospective Studies

Surgical Mesh

Journal Article

Endoscopic extraperitoneal radical prostatectomy in patients with prostate cancer and previous laparoscopic inguinal mesh placement for hernia repair.Laparoscopic radical prostatectomy following laparoscopic bilateral mesh hernia repair.Feasibility and outcomes regarding open and laparoscopic radical prostatectomy in patients with previous synthetic mesh inguinal hernia repair: meta-analysis and systematic review of 7,497 patients.Mesh plug repair and groin hernia surgery.Comparison of Postoperative Chronic Groin Pain After Repair of Inguinal Hernia Using Nonabsorbable Versus Absorbable Sutures for Mesh Fixation.Groin hernia repair in young males: mesh or sutured repair?Emergency groin hernia: outcome after mesh and non-mesh repair.Mesh versus non-mesh for emergency groin hernia repair.Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients.Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials.

A time-tested procedure.A strategy for circumventing the problem of prostate surgery subsequent to preperitoneal inguinal hernia repair.Consequences of endoscopic inguinal hernioplasty with mesh on subsequent open radical prostatectomy.Lichtenstein tension-free hernioplasty: its inception, evolution, and principles.Urologic pelvic surgery following mesh hernia repair.Groin hernia repair: open techniques.

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