[Simultaneous transvesical adenomectomy and pre-peritoneal hernioplasty].

Fifty-three patients submitted to simultaneous treatment of prostatic disease and herniorhaphy are analyzed herein. These patients underwent 64 herniorhaphy procedures utilizing the Nyhus technique, approximating the inferior border of the transverse muscle aponeurosis to Cooper's ligament for direct hernia repair and narrowing the deep inguinal ring with interrupted sutures between the upper border of the deep inguinal orifice and the iliopubic ligament. A recurrence rate of 16.9% was observed relative to the number of patients and 14% relative to the number of hernioplasty procedures. Recurrence presented at 2 years in 8 cases (88.8%); only 1 patient had recurrence at 10 years. Since the pathologic conditions were corrected in 86% of the patients with one anesthetic and surgical procedure, this approach is advocated because it reduces operative morbidity.