Transurethral Resection of the Prostate and Inguinal Mesh Herniorrhaphy: Does Single Session Surgery Work Better? A Randomized Clinical Trial

Introduction: The present study aimed to evaluate the results of doing Transurethral Resection of the Prostate (TURP) and inguinal mesh herniorrhaphy in a single session versus doing them in two separate sessions.Methods: In a randomized clinical trial from ۲۰۱۷ to ۲۰۲۰, ۸۴ patients with inguinal hernia and BPH (benign prostatic hyperplasia) were selected and categorized randomly into two separated groups. TURP and mesh herniorrhaphy were done in a single operation in group I. In group II, into TURP was done at first, and then, three months later, in another admission, inguinal hernia repair was done.Results: Mean duration of operation was ۶۳.۰۴±۶.۸ minutes in group I and ۷۷.۲±۸.۵minutes in group II (p-value<۰.۰۱). The mean duration of hospitalization was ۳.۸±۰.۷days in group I and ۵.۸۸±۱.۰۱ days in group II(p-value<۰.۰۰۱). The average time of Foley catheterization was ۴.۷±۰.۷۳ days in group I and ۴.۳±۰.۶۴ days in group II(p-value<۰.۰۱). The mean rate of international prostate symptom score (IPSS) before and after the operation was ۲۵.۶±۳.۸ and ۱۲.۳±۲.۹ (p-value<۰.۰۱) in group I, and ۲۶.۶±۲.۶ and ۱۲.۷±۲.۱ in group II (p-value<۰.۰۱). There was no correlation between symptoms before the treatment and general satisfaction after the treatment, and there were no differences in other minor complications.Conclusion: Forasmuch as there are no significant differences in outcomes, TURP and mesh Herniorrhaphy in a single session versus doing them in two separated operations can be recommended. Although, because of the longer duration of catheterization in the patients who have done TURP and mesh Herniorrhaphy in a single session, it is needed to do some more investigations about post-operation catheterizing.

Keywords:

Transurethral Resection of Prostate , Herniorrhaphy , Hernioplasty , benign prostatic hyperplasia , Inguinal