I Othman1, A-F Abdel-Maguid. 1. Department of General Surgery, Tanta University, Tanta, Egypt. ibrahimothman000@yahoo.com
Abstract
AIM: Evaluation of combined transurethral resection of the prostate (TURP) and inguinal hernia repair with Vypro II mesh in comparison with patients undergoing TURP and hernioplasty sequentially. METHODS:Thirty patients were randomly categorized into two groups through a computer randomization program. Group I included 15 patients operated by TURP and inguinal hernioplasty in the same session. Group II included 15 patients operated by TURP followed by inguinal hernioplasty in separate sessions. RESULTS: The mean operative time was 84.6 +/- 23.4 min in group I versus 95.5 +/- 15.3 min in group II. The mean hospitalization time was 3.07 +/- 0.46 days in group I and 4.07 +/- 0.59 days in group II. No significant increase in the complication rate was seen when the TURP and inguinal hernioplasty operations were performed together. Hernia recurrence did not occur in either group. Hospitalization cost was reduced by 26% when performing the two operations in the same session. The numerical patient satisfaction score 3 months after surgery was 8.87 +/- 0.99 for group I patients versus 7.80 +/- 0.94 for group II patients. CONCLUSION:Combined TURP and inguinal hernioplasty is a practical, safe, and effective operative procedure that can reduce hospitalization cost. It allows patients to undergo only one anesthetic procedure, hospital admission, and convalescence.
RCT Entities:
AIM: Evaluation of combined transurethral resection of the prostate (TURP) and inguinal hernia repair with Vypro II mesh in comparison with patients undergoing TURP and hernioplasty sequentially. METHODS: Thirty patients were randomly categorized into two groups through a computer randomization program. Group I included 15 patients operated by TURP and inguinal hernioplasty in the same session. Group II included 15 patients operated by TURP followed by inguinal hernioplasty in separate sessions. RESULTS: The mean operative time was 84.6 +/- 23.4 min in group I versus 95.5 +/- 15.3 min in group II. The mean hospitalization time was 3.07 +/- 0.46 days in group I and 4.07 +/- 0.59 days in group II. No significant increase in the complication rate was seen when the TURP and inguinal hernioplasty operations were performed together. Hernia recurrence did not occur in either group. Hospitalization cost was reduced by 26% when performing the two operations in the same session. The numerical patient satisfaction score 3 months after surgery was 8.87 +/- 0.99 for group I patients versus 7.80 +/- 0.94 for group II patients. CONCLUSION: Combined TURP and inguinal hernioplasty is a practical, safe, and effective operative procedure that can reduce hospitalization cost. It allows patients to undergo only one anesthetic procedure, hospital admission, and convalescence.