Transurethral resection of the prostate (TURP) and laparoscopic inguinal hernioplasty as combined versus separate procedures in the Era of COVID 19
Keywords:
Benign prostatic hypertrophy, inguinal hernia, laparoscopic hernia repair, totally extraperitoneal repair, transurethral prostatic resectionAbstract
Background: This study aimed to evaluate concurrent transurethral resection of the prostate (TURP) and laparoscopic totally extraperitoneal (TEP) inguinal hernia repair with determination of outcomes as combined versus separate procedures in the era of COVID 19. Materials and Methods: This prospective randomized control study was conducted at Theodor Bilharz Research Institute hospital from 2021 to 2022. It included 52 patients with co-existing uncomplicated unilateral or bilateral primary inguinal hernia and significant benign prostatic hypertrophy were operated in the same sitting in group A while in separate sessions in group B. The following outcomes were compared: duration of the surgery, conversion to open surgery (TURP or TEP), intraoperative and post-operative complications, duration of hospital stay, recurrence, patient satisfaction and pain scores, time taken to resume normal activity and cost of the treatment. Results: This study included 52 patients with a mean age of 53 years (range of 45–80 years). The average time taken for the surgery was 126 min in group A while in group B was 140 min with no conversion to open prostatectomy or open hernia repair. The mean post-operative stay was 1.2 days in group A while in group B was 4.8 days.
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