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Background <p>Radical prostatectomy (RP) is associated with an increased risk of subsequent inguinal hernia (IH). Because prior pelvic surgery may disrupt the preperitoneal plane and cause adhesions, hernia repair in this setting can be technically challenging. However, the clinical outcomes of open partial preperitoneal tension-free repair for IH after RP have not been well described in consecutive case series.</p> Objective <p>To evaluate the clinical outcomes of open partial preperitoneal tension-free repair for inguinal hernia after radical prostatectomy.</p> Method <p>We retrospectively reviewed 64 consecutive patients with IH after RP who underwent open partial preperitoneal tension-free repair at our institution between January 2013 and January 2024. Data collected included demographic and hernia characteristics, operative time, drain placement, postoperative length of stay, postoperative complications, chronic groin discomfort, and recurrence during follow-up.</p> Results <p>The mean operative time was 67.6 ± 28.5&#xa0;min. Nine patients (14.1%) underwent selective drain placement, with a mean drain duration of 3.44 ± 0.88&#xa0;days. The median postoperative hospital stay was 4&#xa0;days (IQR, 4–7&#xa0;days). One patient (1.6%) developed postoperative hematoma/seroma, and two patients (3.1%) reported chronic postoperative groin discomfort or foreign body sensation during follow-up. No surgical site infection was observed. The mean follow-up duration was 34.7 ± 22.2&#xa0;months. One patient reported a suspected recurrence during telephone follow-up, but this was not clinically confirmed because the patient declined further evaluation.</p> Conclusion <p>Open partial preperitoneal tension-free repair may be a feasible option for selected patients with inguinal hernia after RP when performed by surgeons familiar with this technique. In this retrospective surgeon-specific, center-related series, the procedure was associated with acceptable perioperative outcomes and a low rate of unconfirmed recurrence, although the findings should be interpreted cautiously given the study design, limited sample size, and limited generalizability.</p> Trial registration <p>This retrospective study was approved by the Institutional Ethics Committee of the First Affiliated Hospital of Ningbo University (Approval No. 098RS), which waived the requirement for informed consent because of the retrospective design and the use of anonymized data. The study was registered on Medicalresearch.org (Registration No. ChiCTR2500101225).</p>

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Clinical outcomes of open partial preperitoneal tension-free repair for inguinal hernia following radical prostatectomy: a single-center retrospective study

  • 期刊论文

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  • 发表日期：

    2026年7月10日

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  • Ying Du,
  • Yunshou Lin,
  • Shisong Wang,
  • Manli Huang,
  • Wenguan Yu,
  • Zhiyu Ye

摘要

Background

Radical prostatectomy (RP) is associated with an increased risk of subsequent inguinal hernia (IH). Because prior pelvic surgery may disrupt the preperitoneal plane and cause adhesions, hernia repair in this setting can be technically challenging. However, the clinical outcomes of open partial preperitoneal tension-free repair for IH after RP have not been well described in consecutive case series.

Objective

To evaluate the clinical outcomes of open partial preperitoneal tension-free repair for inguinal hernia after radical prostatectomy.

Method

We retrospectively reviewed 64 consecutive patients with IH after RP who underwent open partial preperitoneal tension-free repair at our institution between January 2013 and January 2024. Data collected included demographic and hernia characteristics, operative time, drain placement, postoperative length of stay, postoperative complications, chronic groin discomfort, and recurrence during follow-up.

Results

The mean operative time was 67.6 ± 28.5 min. Nine patients (14.1%) underwent selective drain placement, with a mean drain duration of 3.44 ± 0.88 days. The median postoperative hospital stay was 4 days (IQR, 4–7 days). One patient (1.6%) developed postoperative hematoma/seroma, and two patients (3.1%) reported chronic postoperative groin discomfort or foreign body sensation during follow-up. No surgical site infection was observed. The mean follow-up duration was 34.7 ± 22.2 months. One patient reported a suspected recurrence during telephone follow-up, but this was not clinically confirmed because the patient declined further evaluation.

Conclusion

Open partial preperitoneal tension-free repair may be a feasible option for selected patients with inguinal hernia after RP when performed by surgeons familiar with this technique. In this retrospective surgeon-specific, center-related series, the procedure was associated with acceptable perioperative outcomes and a low rate of unconfirmed recurrence, although the findings should be interpreted cautiously given the study design, limited sample size, and limited generalizability.

Trial registration

This retrospective study was approved by the Institutional Ethics Committee of the First Affiliated Hospital of Ningbo University (Approval No. 098RS), which waived the requirement for informed consent because of the retrospective design and the use of anonymized data. The study was registered on Medicalresearch.org (Registration No. ChiCTR2500101225).