Groin hernia are very common and surgical treatment is usually recommended. In fact, hernia repair is the most common surgical procedure performed worldwide. In countries such as USA, China and India, there may easily be over one million repairs every year1.
(LUTS) Lower Urinary Tract Symptoms association with BPH increases with age & its well demonstrated by the natural history of BPH. In many men, the symptoms gradually progress and ultimately need medical or surgical therapy. It is very important to identify and treat the lower urinary tract symptoms before the patient undergoes surgical repair of inguinal hernia. Reason behind this is because continuous straining during micturition will increase intra-abdominal pressure which ultimately …show more content…
In most of the patients the symptoms are bothersome2.Symptoms have become the major focus in managing the bladder outlet obstruction secondary to BPH. Symptoms are being used by many urologists as the basis for diagnosing outlet obstruction and assessing the efficacy of treatment. Various symptoms score has been designed. American Urological Association Symptom Score(AUASS) and International Prostate Symptom Score(IPSS) are accepted widely. Objective parameters like post void residual urine, bladder wall thickness, prostate volume are also used to evaluate treatment success along with the subjective parameters.
Urinary symptoms are frequently associated with inguinal hernias and urinary complications like acute retention of urine occur frequently following repair. There has not been a systematic assessment of pre-operative burden of urinary symptoms in patients undergoing elective repair of inguinal hernia to determine whether the presence of symptoms can predict retention and inguinal hernia outcomes.
The IPSS is a validated seven item survey used to assess the severity of storage symptoms (frequency, urgency, nocturia) and voiding symptoms (incomplete emptying, intermittency, straining and weak stream). Response ranges from 0 to 5 i.e., no symptoms experienced to almost always.
Total symptom score is calculated, and symptoms are considered mild (score 0-7), moderate (score 8-19), and severe
(LUTS) Lower Urinary Tract Symptoms association with BPH increases with age & its well demonstrated by the natural history of BPH. In many men, the symptoms gradually progress and ultimately need medical or surgical therapy. It is very important to identify and treat the lower urinary tract symptoms before the patient undergoes surgical repair of inguinal hernia. Reason behind this is because continuous straining during micturition will increase intra-abdominal pressure which ultimately …show more content…
In most of the patients the symptoms are bothersome2.Symptoms have become the major focus in managing the bladder outlet obstruction secondary to BPH. Symptoms are being used by many urologists as the basis for diagnosing outlet obstruction and assessing the efficacy of treatment. Various symptoms score has been designed. American Urological Association Symptom Score(AUASS) and International Prostate Symptom Score(IPSS) are accepted widely. Objective parameters like post void residual urine, bladder wall thickness, prostate volume are also used to evaluate treatment success along with the subjective parameters.
Urinary symptoms are frequently associated with inguinal hernias and urinary complications like acute retention of urine occur frequently following repair. There has not been a systematic assessment of pre-operative burden of urinary symptoms in patients undergoing elective repair of inguinal hernia to determine whether the presence of symptoms can predict retention and inguinal hernia outcomes.
The IPSS is a validated seven item survey used to assess the severity of storage symptoms (frequency, urgency, nocturia) and voiding symptoms (incomplete emptying, intermittency, straining and weak stream). Response ranges from 0 to 5 i.e., no symptoms experienced to almost always.
Total symptom score is calculated, and symptoms are considered mild (score 0-7), moderate (score 8-19), and severe