Yuta Yamada 1 , Tetsuya Fujimura , 1 , Hiroshi Fukuhara 1 , Toru Sugihara 1 , Kotaro Takemura 1 , Shigenori Kakutani 1 , Motofumi Suzuki 3 , Tohru Nakagawa 1 , Haruki Kume 1 , Yasuhiko Igawa 2 , Yukio Homma 1
16 March 2017
Robot-assisted radical prostatectomy (RARP) has now become a gold standard approach in radical prostatectomy. The aim of this study was to investigate incidence and risk factors of inguinal hernia (IH) after RARP.
This study included 307 consecutive men who underwent RARP for the treatment of prostate cancer from January 2011 to August 2015. The incidence of IH after RARP was investigated. Clinical and pathological factors were also investigated to assess relationship with development of postoperative IH.
Median follow-ups were 380 days, and median age of patients was 67 years. Incidence of IH was 11.3, 14.0, and 15.4% at 1, 2, and 3 years after RARP, respectively. Postoperative IH occurrence was significantly associated with low surgeon experience and postoperative incontinence at 3 or 6 months after surgery ( P = 0.019, P = 0.002, and P = 0.016, respectively).