Inguinal Hernia Repair Around Prostatectomy

  • Stephen Masnyj
  • Matthew I. GoldblattEmail author


The lifetime risk of developing an inguinal hernia is about 25% and the risk of developing prostate cancer is 14%. Therefore, many men will have both inguinal hernias and prostate cancer. Laparoscopic inguinal hernia repair is performed in the preperitoneal plane, which is also where a prostatectomy is performed. In this chapter, we evaluate the data regarding performing a laparoscopic inguinal hernia repair before, during, and after a prostatectomy.


Prostate cancer Laparoscopic inguinal hernia repair 


  1. 1.
    Stranne J, Lodding P. Inguinal hernia after radical retropubic prostatectomy: risk factors and prevention. Nat Rev Urol. 2011;8:267.CrossRefGoogle Scholar
  2. 2.
    Howlader N, Noone AM, Krapcho M, Miller D, Bishop K, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER Cancer Statistics Review, 1975–2013, National Cancer Institute. Bethesda,, based on November 2015 SEER data submission, posted to the SEER web site, April 2016.
  3. 3.
    Mirilas P, Colborn GL, McClusky DA III, et al. The history of anatomy and surgery of the preperitoneal space. Arch Surg. 2005;140(1):90–4.CrossRefGoogle Scholar
  4. 4.
    JB MK, Laws HL. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc. 1993;7:26–8.CrossRefGoogle Scholar
  5. 5.
    LeBlanc KA, Booth WV, Whitaker JM, Baker D. In vivo study of meshes implanted over the inguinal ring and external iliac vessels of uncastrated pigs. Surg Endosc. 1998;12:247–51.CrossRefGoogle Scholar
  6. 6.
    Katz EE, Patel RV, Sokoloff MH, et al. Bilateral inguinal hernia repair can complicate subsequent radical retropubic prostatectomy. J Urol. 2002;167:637–8.CrossRefGoogle Scholar
  7. 7.
    Haifler M, Benjamin B, Ghinea R, Avital S. The impact of previous laparoscopic inguinal hernia repair on radical prostatectomy. J Endourol. 2012;26(11):1458–62. Epub 2012 Sep 13CrossRefPubMedGoogle Scholar
  8. 8.
    Saint-Elie DT, Marshall FF. Impact of laparoscopic inguinal hernia repair mesh on open radical retropubic prostatectomy. Urology. 2010;76:1078–82.CrossRefGoogle Scholar
  9. 9.
    Do HM, Turner K, Dietel A, et al. Previous laparoscopic inguinal hernia repair does not adversely affect the functional or oncological outcomes of endoscopic extraperitoneal radical prostatectomy. Urology. 2011;77:963–7.CrossRefGoogle Scholar
  10. 10.
    DiMarco DS, Zincke H, Sebo TJ, et al. The extent of lymphadenectomy for pTXNO prostate cancer does not affect prostate cancer outcome in the prostate specific antigen era. J Urol. 2005;173:1121–5.CrossRefGoogle Scholar
  11. 11.
    National Comprehensive Cancer Network (NCCN). NCCN Clinical practice guidelines in oncology.
  12. 12.
    Joslyn SA, Konety BR. Impact of extent of lymphadenectomy on survival after radical prostatectomy for prostate cancer. Urology. 2006;68:121–5.CrossRefGoogle Scholar
  13. 13.
    Siddiqui SA, Krane LS, Bhandari A, et al. The impact of previous inguinal or abdominal surgery on outcomes after robotic radical prostatectomy. Urology. 2010;75:1079–82.CrossRefGoogle Scholar
  14. 14.
    Picozzi SCM, Ricci C, Bonavina L, et al. 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. World J Urol. 2015;33:59.CrossRefGoogle Scholar
  15. 15.
    Spernat D, Sofield D, Moon D, Louie-Johnsun M, Woo H. Implications of laparoscopic inguinal hernia repair on open, laparoscopic, and robotic radical prostatectomy. Prostate Int. 2014;2:8–11.CrossRefGoogle Scholar
  16. 16.
    Cooperberg MR, Downs TM, Carroll PR. Radical retropubic prostatectomy frustrated by prior laparoscopic mesh herniorrhaphy. Surgery. 2004;135:452–4.CrossRefGoogle Scholar
  17. 17.
    Regan TC, Mordkin RM, Constantinople NL, et al. Incidence of inguinal hernias following radical retropubic prostatectomy. Urology. 1996;47:536.CrossRefGoogle Scholar
  18. 18.
    Zhu S, Zhang H, Xie L, Chen J, Niu Y. Risk factors and prevention of inguinal hernia after radical prostatectomy: a systematic review and meta-analysis. J Urol. March 2013;189(3):884–90.CrossRefGoogle Scholar
  19. 19.
    Stranne J, Johansson E, Nilsson A, Bill-Axelson A, Carlsson S, Holmberg L, et al. Inguinal hernia after radical prostatectomy for prostate cancer: results from a randomized setting and a nonrandomized setting. Eur Urol. 2010;58:719–26.CrossRefGoogle Scholar
  20. 20.
    Nielsen ME, Walsh PC. Systematic detection and repair of subclinical inguinal hernias at radical retropubic prostatectomy. Urology. 2005;66:1034–7.CrossRefGoogle Scholar
  21. 21.
    Do M, Liatsikos EN, Kallidonis P, Wedderburn AW, Dietel A, Turner KJ, et al. Hernia repair during endoscopic Extraperitoneal radical prostatectomy: outcome after 93 cases. J Endourol. April 2011;25(4):625–9.CrossRefGoogle Scholar
  22. 22.
    Celik O, Akand M, Ekin G, Duman I, Ilbey YO, Erdogru T. Laparoscopic radical prostatectomy alone or with laparoscopic Herniorrhaphy. JSLS: J Soc Laparoendoscopic Surgeons. 2015;19(4):e2015.00090.CrossRefGoogle Scholar
  23. 23.
    Fujii Y, Yamamoto S, Yonese J, Kawakami S, Okubo Y, Suyama T, et al. A novel technique to prevent postradical retropubic prostatectomy inguinal hernia: the processus vaginalis transection method. Urology. 2010;75:713–7.CrossRefGoogle Scholar
  24. 24.
    Stranne J, Aus G, Bergdahl S, Damber JE, Hugosson J, Khatami A, et al. Post-radical prostatectomy inguinal hernia: a simple surgical intervention can substantially reduce the incidence – results from a prospective randomized trial. J Urol. 2010;184:984–9.CrossRefGoogle Scholar
  25. 25.
    Dulucq JL, Wintringer P, Mahajna A. Totally extraperitoneal hernia repair after radical prostatectomy or previous lower abdominal surgery. Surg Endosc. 2006;20:473.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Medical College of WisconsinMilwaukeeUSA

Personalised recommendations