{
  "abstract": "Purpose\n\nLower urinary tract symptoms (LUTS) / Benign Prostatic Hyperplasia (BPH) and inguinal hernia (IH) are prevalent conditions among elderly men and frequently coexist in clinical practice. However, their concurrent management remains fragmented because they are traditionally addressed within separate surgical and urological specialties. This review aims to synthesize evidence relevant to men with coexisting LUTS/BPH and IH, also, to propose a multidisciplinary clinical pathway for the assessment and management of elderly patients presenting with these comorbidities.Methods\n\nPubMed, Embase (Ovid), and Web of Science Core Collection were searched from inception to August 2026. Among 752 unique database records, 172 underwent detailed assessment and 44 reports were included. Reports were mapped by clinical question and study design, including question-specific Oxford Centre for Evidence-Based Medicine levels.Results\n\nThe 44 reports addressed coexistence, postoperative urinary retention (POUR) risk, POUR prevention, and combined or staged operations. In RETAINER I (n = 4,151), POUR occurred in 5.8% of men and 9.5% of men aged 65 years or older. Previous retention predicted risk, whereas diagnosed benign prostatic enlargement and International Prostate Symptom Score were not independent predictors. A randomized trial found no benefit from routine intraoperative catheterization, and overlapping alpha-blocker meta-analyses were discordant. Evidence for a causal benign prostatic hyperplasia-hernia relationship was inconsistent and confounded. Combined surgery was feasible in selected series, but comparative evidence was sparse and did not establish a preferred sequence.Conclusion\n\nThe framework is a decision aid, not a validated protocol. Disease-specific indications should determine priority. Combined surgery may be considered only when both procedures are independently indicated and local expertise permits.",
  "abstract_shown": true,
  "affiliations": [
    "The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Zhejiang, China.",
    "Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China.",
    "First People's Hospital of Yuhang District, Hangzhou City, Zhejiang Province, China.",
    "Liangzhu Subdistrict Community Health Service Center, Yuhang District, Hangzhou City, Zhejiang Province, China.",
    "The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Zhejiang, China. 20180030@zcmu.edu.cn.",
    "Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China. 20180030@zcmu.edu.cn.",
    "Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province, Hangzhou, Zhejiang, China. 20180030@zcmu.edu.cn.",
    "Hangzhou Institute of Digestive Diseases, Hangzhou, Zhejiang, China. 20180030@zcmu.edu.cn.",
    "Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Hangzhou, Zhejiang, China. 20180030@zcmu.edu.cn.",
    "Department of Abdominal Wall and Hernia Surgery, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, No. 261 Huan Sha Lu, Hangzhou, Zhejiang Province, China. 20180030@zcmu.edu.cn."
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "JiaYi Li"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "YuHao Ren"
    },
    {
      "affs": [
        1
      ],
      "name": "Ying Huang"
    },
    {
      "affs": [
        2
      ],
      "name": "KeYan Ye"
    },
    {
      "affs": [
        3
      ],
      "name": "ShiHan Zheng"
    },
    {
      "affs": [
        4,
        5,
        6,
        7,
        8,
        9
      ],
      "name": "FangJie Zhang",
      "orcid": "0000-0003-4635-5977"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5y7k9hahjqmfx.bib",
  "cited_by": 0,
  "doi": "10.1007/s10029-026-03900-7",
  "fulltext_url": "https://europepmc.org/articles/PMC13751710",
  "id": "5y7k9hahjqmfx",
  "issns": [
    "1265-4906",
    "1248-9204"
  ],
  "landing_url": "https://europepmc.org/article/MED/43007487",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2748|Urinary Bladder and Prostate Research"
    ]
  ],
  "openalex": "W7225714029",
  "pdf_url": "https://europepmc.org/articles/PMC13751710?pdf=render",
  "pmcid": "PMC13751710",
  "pmid": "43007487",
  "published": "2026-11-10",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/5y7k9hahjqmfx.ris",
  "sources": [
    {
      "first_seen": "2026-11-12T15:21:47Z",
      "native_id": "MED:43007487",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/43007487"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2746|Hernia repair and management",
      "subfield": "surgery"
    }
  ],
  "title": "When benign prostatic hyperplasia meets inguinal hernia: Development of a multidisciplinary management framework for elderly men.",
  "title_text": "When benign prostatic hyperplasia meets inguinal hernia: Development of a multidisciplinary management framework for elderly men.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-13T03:20:43Z",
  "url": "https://research.draconitic.com/paper/5y7k9hahjqmfx",
  "venue": "Hernia : the journal of hernias and abdominal wall surgery",
  "versions": []
}