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Inguinal Hernia Repair

  • Kamaljot S. Kaler
  • Simone L. Vernez
  • Thomas E. Ahlering
Chapter

Abstract

Inguinal hernia (IH) is a well-known complication of radical prostatectomy. The prevalence of groin hernias, including inguinal and femoral, is between 5 and 10% in the United States, with inguinal hernias (IHs) making up the vast majority [1]. In general, risk factors for hernia development include a history of hernia or hernia repair, older age, male gender, Caucasian race, chronic cough or constipation, abdominal wall injury, smoking, and family history [2]. IH also occurs as a complication of radical prostatectomy. In 1996, Regan and coworkers were the first to show a significantly higher incidence of IH following radical prostatectomy when compared to the general population [3]. Indeed, up to 20% of patients develop IHs postoperatively [4–7]. Further, studies have shown that patients who have undergone radical prostatectomy for the treatment of prostate cancer have a higher incidence of IH than prostate cancer patients who do not undergo surgery [8, 9]. Additionally, patients are more likely to suffer from IH after combined radical prostatectomy with lymph node dissection than just lymph node dissection alone [10]. Risk for IH extends beyond the immediate postoperative period and may be observed as a long-term complication [11]. Importantly, patients undergoing minimally invasive radical prostatectomy are at increased risk of requiring hernia repair compared to open prostatectomy patients [12].

Keywords

Inguinal hernia repair Radical prostatectomy Robotic-assisted radical prostatectomy Minimally invasive surgery 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Kamaljot S. Kaler
    • 1
  • Simone L. Vernez
    • 1
  • Thomas E. Ahlering
    • 1
  1. 1.Department of UrologyUniversity of CaliforniaOrangeUSA

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