Zavgorodniy S. M., Rylov A. I., Danilyk M. B., Kubrak M. A., Moroz I. Yu., Shurov M. F.

CLINICAL AND EXPERIMENTAL MEDICINE

Scentific article

In the general population inguinal hernias occur in 3,0-4,2%. In patients with BPH, this figure is 7-8 times higher and reaches 28.3%. In this case, BPH is one of the main causes, which provokes an increase in intraabdominal pressure and promotes the formation of hernias. The aim of the study. Set the frequency of breathing inguinal hernia in conjunction with BPH in elderly men under conditions of a urological hospital. Object and methods of research. A retrospective analysis of 786 men aged 61-75 years undergoing treatment in the urological department of the «Motor Sich» Clinic was conducted. Research results. Combined pathology – inguinal hernia and BPH are detected in 34.0% of patients. The most common type of hernia is type III – 54 (62.1%) patients. Type II hernia was diagnosed in 18 (20.8%) patients, recurrent protuberances (type IV) in 6 (16.1%). Only in 1 (1.1%) patients had a type I hernia. In 47.5% of patients with type II and in 42.9% of patients with type III inguinal hernia, the symptoms of the violation were weak, less pronounced. In patients with moderate urinary disorders, hernias III and IV were diagnosed – 68.7% and 14.6% respectively. In patients with severe disorders, inguinal hernias III (66.7%) and IV (33.3%) types were encountered. Conclusions. 1. In elderly patients, the combination of inguinal hernia and BPH occurred in 34.0% of cases. 2. In 55.2% of patients, moderate symptoms of urination were noted (IPSS = 16.0 points; QOL = 5.1 points). 3. In patients with BPH, in 62,1% of cases, hernias of type III, type II, were diagnosed in 20,8% of patients. The percentage of recurrent (type IV) was 16.1%. Patients with Type I met in 1.1% of cases. 4. The revealed relationship between the degree of severity of symptoms of urination and the type of inguinal hernia, indicates that the change in intraabdominal pressure is one of the etiological factors in the formation of inguinal hernias.

benign prostatic hyperplasia, inguinal hernia, combined pathologies.

1. Usupbaev ACh, Dzhanyibaev KA. Sochetannyie zabolevaniya v urologii i ih operativnoe lechenie. Vestnik hirurgii Kazahstana. 2013;4(36):22-6. [in Russian].
2. Li T, Wang Z. The diagnosis and treatments of inguinal hernia after radical Prostatectomy. Surgical Science. 2013;4:83-8. DOI: 10.4236/ ss.2013.41015
3. Bawa AS, Batra RK, Singh R. Management of inguinal hernia with benign prostatic hyperplasia: simultaneous inguinal hernioplasty with transurethral resection of prostate. Int Urol Nephrol. 2003;35(4):503-6. PMID: 15198155.
4. Lucca I, Shariat SF, Hofbauer SL, Klatte T. Outcomes of minimally invasive simple prostatectomy for benign prostatic hyperplasia: a systematic review and meta-analysis. World J Urol. 2015 Apr;33(4):563-70. DOI: 10.1007/s00345-014-1324-3
5. Oelke M, Bachmann A, Descazeaud A, Emberton M, Gravas S, Michel MC, et al. EAU guidelines on the treatment and follow-up of nonneurogenic male lower urinary tract symptoms including benign prostatic obstruction. Eur Urol. 2013;64(1):118-40. DOI: 10.1016/j. eururo.2013.03.004
6. Abboudi H, Khan MS, Guru KA, Froghi S, de Win G, Van Poppel H, et al. Learning curves for urological procedures: a systematic review. BJU Int. 2014 Oct;114(4):617-29. DOI: 10.1111/bju.12315
7. Mor A, Sharma SM, Mukherjee S, Jindal R. A clinico pathological study and management of benign enlargement of prostate. Int Surg J. 2018 Apr;5(4):1275-80. DOI: 10.18203/2349-2902.isj20180992

«Bulletin of problems biology and medicine» Issue 3 (152), 2019 year, 104-107 pages, index UDK 616.557-007.43+616.65-007.61[-07-053.9

10.29254/2077-4214-2019-3-152-104-107