When benign prostatic hyperplasia meets inguinal hernia: Development of a multidisciplinary management framework for elderly men.
10 affiliations
- 1The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Zhejiang, China.
- 2Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China.
- 3First People's Hospital of Yuhang District, Hangzhou City, Zhejiang Province, China.
- 4Liangzhu Subdistrict Community Health Service Center, Yuhang District, Hangzhou City, Zhejiang Province, China.
- 5The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Zhejiang, China. [email protected].
- 6Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China. [email protected].
- 7Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province, Hangzhou, Zhejiang, China. [email protected].
- 8Hangzhou Institute of Digestive Diseases, Hangzhou, Zhejiang, China. [email protected].
- 9Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Hangzhou, Zhejiang, China. [email protected].
- 10Department 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. [email protected].
Abstract
Purpose
Lower 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
PubMed, 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
The 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
The 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.
Related
- Intake of foods containing phytochemicals is correlated with benign prostatic hyperplasia development: a long-term follow-up study
- Use of pumpkin seed (Cucurbita pepo) versus placebo and versus alpha-blockers in the management of benign prostatic hyperplasia: a systematic review and meta-analysis of randomized controlled trials
- Non-interventional and medical management of lower urinary tract symptoms related to benign prostatic hyperplasia in men: Guidelines of the French LUTS Committee (CTMH)
- Two-dimensional computational fluid dynamics study of urine flow in the prostatic fossa after benign prostatic hyperplasia surgery: a single-patient model
- Cumulative average glucose–lipid metabolic obesity index associates with benign prostatic hyperplasia incidence in Chinese middle-aged and older men
BibTeX
@article{li2026when,
title = {{When benign prostatic hyperplasia meets inguinal hernia: Development of a multidisciplinary management framework for elderly men.}},
author = {JiaYi Li and YuHao Ren and Ying Huang and KeYan Ye and ShiHan Zheng and FangJie Zhang},
journal = {Hernia : the journal of hernias and abdominal wall surgery},
year = {2026},
month = nov,
doi = {10.1007/s10029-026-03900-7},
url = {https://europepmc.org/article/MED/43007487},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - When benign prostatic hyperplasia meets inguinal hernia: Development of a multidisciplinary management framework for elderly men.
AU - JiaYi Li
AU - YuHao Ren
AU - Ying Huang
AU - KeYan Ye
AU - ShiHan Zheng
AU - FangJie Zhang
PY - 2026
DA - 2026/11/10
JO - Hernia : the journal of hernias and abdominal wall surgery
DO - 10.1007/s10029-026-03900-7
UR - https://europepmc.org/article/MED/43007487
AB - Purpose Lower 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 PubMed, 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 The 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 The 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.
SN - 1265-4906
SN - 1248-9204
ER -