Abstract

Objective
Objective. To improve the immediate results of inguinal surgery in patients with prostate adenoma by preventing early postoperative complications and developing new treatment approaches.
Materials and Methods
The study is based on the treatment and examination results of 80 patients with PG and BPH admitted to the surgery and urology departments of the Dushanbe City Emergency Medical Care Center between 2010 and 2025. Based on the conducted studies and the method of PG and BPH correction, the patients were divided into 2 groups: 40 patients (the study group) with PG and concomitant pathologies of varying degrees of BPH, who will receive modern diagnostic and treatment methods; and 40 patients (the control group) who were diagnosed and treated conventionally.
Results
The staged nature of the interventions was completely mirrored: after the initial TURP, hernioplasty was performed as a second stage in 29 (72.5%) patients; accordingly, in 11 (27.5%) patients who underwent hernioplasty as the first stage, TURP was performed as the second stage. This approach ensured the consistent elimination of the dominant pathology while minimizing surgical risks and optimizing the postoperative period. In patients with PH secondary to BPH, TALGsTP was most widely used (57.5%). The rate of non-specific complications with this method was low (4.3%) and comparable to that after standard separate hernioplasty (5.9%), with no specific postoperative complications in either group. In the postoperative period after transabdominal laparoscopic hernioplasty with total prosthesis, complications occurred in 5.9% of cases, including: 2.9% - specific complications, such as postoperative wound infiltrate, and 2.9% - nonspecific complications. In patients in the study group, both the first stage of surgery for PG (n=29) and the second stage (n=11) were corrected with TURP.
Conclusion
The use of LGP and TURP in patients with PG and BPH, compared with TGP and OAE, is characterized by less trauma, which contributes to a reduction in the incidence of early postoperative complications and ensures faster rehabilitation in this category of patients

Keywords

inguinal hernia benign prostatic hyperplasia laparoscopic hernioplasty transurethral resection of the prostate postoperative acute urinary retention

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