Correlation between the presence of inguinal hernia and the intensity of lower urinary tract symptoms

Acta Cirurgica Brasileira

Rodolfo Borges Dos Reis²  Antonio Antunes Rodrigues Neto¹  Leonardo Oliveira Reis¹  Roberto Dias Machado¹  Steven Kaplan¹ 

[1] ,USP FMRP Department of Surgery and AnatomyRibeirao Preto SP ,Brazil

关键词: Hernia;    Inguinal;    Urinary Tract;    Symptoms;    Questionnaires;    Hernia Inguinal;    Sistema Urinário;    Sintomas;    Questionários;   

DOI  :  10.1590/S0102-86502011000800023

来源: SciELO

【 摘 要 】

PURPOSE: To verify the correlation between the presence of IH and the intensity of LUTS related to BPH quantified through the International Prostate Symptom Score (IPSS). METHODS: We prospectively selected 52 patients over the age of 55years; Patients were divided into 2 groups. Group 1: composed of 32 patients with IH; Group 2 (control group): composed of 20 patients with no clinical evidence of IH. All patients were assessed using the IPSS, uroflowmetry (Qmax), post-void residual urine volume (PVR) and prostate volume (PV). RESULTS: Groups 1 and 2 presented no difference in PV (p>0.05) and uroflowmetry (Qmax) (p>0.05). There was a statistical significant difference between the PVR mean values between groups 1 and 2. The presence of IH correlated with a higher IPSS score (r=0.38 p<0.05) despite the fact the no difference was detected between the incidence of patients with mild, moderate and severe LUTS in groups 1 and 2. CONCLUSION: Patients with IH present higher IPSS. The role of IPSS as a marker to predict the development of clinical IH still to be determined.

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