UROLOGICAL EVALUATION OF PATIENTS WITH INGUINAL HERNIA HAVING LOWER URINARY TRACT SYMPTOMS

Abstract

It was previously known that combined treatment of inguinal hernia and Benign Prostatic Hyperplasia(BPH) in convenient cases had positive effects in elderly patients having BPH and inguinal hernia, concomittantly. We determined whether an urological evaluation is necessary or not before any treatment in patients with Inguinal hernia having lower urinary tract symptoms (LUTS). Between March1998 and December 1998, thirty-one patients with BPH and 26 patients having both BPH and inguinalhernia with LUTS were evaluated by International Prostate Symptom Scores ( IPSS ), residual urine, uroflowmetry and pressure flow study. The infravesical obstruction parameters of patients were compared. Mean age of patients was 59.23 ± 4.46 and of the 57 patients, 29 (48%) showed obstruction. Fifteen patients (48%) were in BPH groupand!4 patients (54 %) with obstruction had both inguinal hernia and BPH, concomitantly. There were no statistically significant difference between the volumes of residual urine among two groups whereas, IPSS, uroflowmetry and pressure-flow study showed obstructive parameters to be significantly higher in hernia group. Patients having both inguinal hernia and LUT symptoms should be evaluated for the presence of lower urinary tract obstruction before undergoing herniogrhaphy. Determination of an obstructive pathology and treatment of it will both decrease the rate of recurrence and reduces the mortality.