Simultaneous surgical interventions for benign prostatic hyperplasia of large and giant sizes

Introduction. Benign prostatic hyperplasia (BPH) is a polyetiological, age-associated chronic disease characterized by an increase in the volume of the prostate due to the growth of periurethral tissue, leading to mechanical obstruction of the lower urinary tract and deterioration in the quality of urination. One of the most common concomitant surgical diseases of BPH is inguinal hernia (IH). Aim. To determine the efficacy and safety of simultaneous laparoscopic transvesical adenomectomy and inguinal hernioplasty for large and giant BPH and symptomatic IG. Material and methods. The study included 77 patients. The inclusion criteria were the presence of large and giant BPH and PG with indications for surgical treatment. Patients were divided into 2 groups, which underwent laparoscopic transvesical adenomectomy (LTVAE), and group with simultaneous transabdominal preperitoneal hernioplasty (TAPP) according to indications. In the postoperative period, the frequency of complications was analyzed and control examinations of patients were carried out. Results. All patients had satisfactory maximum urine flow rates and a small residual urine volume in the postoperative period. One patient was diagnosed with bladder neck sclerosis 6 months after surgery. No recurrences of IH or cases of mesh prosthesis infection were noted. Conclusion. Simultaneous surgical treatment of large and giant BPH with symptomatic IH by laparoscopic access is an effective and safe method that allows for the simultaneous elimination of both pathologies without a negative impact on the postoperative period.