Predictors of Inguinal Hernia After Radical Prostatectomy

摘要: Objectives To determine the significant independent predictors of inguinal hernia development after radical prostatectomy (RP) so that prophylactic measures can be undertaken in those at increased risk. Although is a recognized complication RP, risk factors have not been well elucidated. Methods From January 1999 to June 2007, 4592 consecutive patients underwent open retropubic RP or laparoscopic without previous radiotherapy. The median follow-up was 36.9 months (interquartile range 20.3, 60.6). Comorbidities were recorded, as occurrence hernia, wound infection, and bladder neck contracture. Cox proportional hazards analysis performed for on multivariate analysis. Results Inguinal developed 68 men (1.5%) 7.9 4.3, 18.1). laterality bilateral 7, right 27, left 24, documented 10 patients. included age (hazard ratio [HR] 1.05, 95% confidence interval [CI] 1.01-1.09, P = .016), body mass index (HR 0.91, CI 0.85-0.98, .011), history repair 3.9, 1.8-8.2, <.001), contracture 2.8, 1.3-5.9, .007) but approach 1.08, 0.60-1.96, .80 vs RP). Conclusions The results our study indicated older patients, thinner with repair, developing are an hernia. These might identify subset whom evaluation subclinical allow RP.