Gokul Prabhu, B (2020) A Study on Association between Prostate Gland Enlargement and Inguinal Hernia. Masters thesis, Chengalpattu Medical College and Hospital, Chengalpattu.
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Abstract
BACKGROUND: Prostate Gland Enlargement is an important cause of Bladder Outlet Obstruction in males leading to chronic straining on micturition. Inguinal Hernia can be precipitated by Chronic Straining for Micturition. The occurrence of Inguinal Hernia and Prostate Gland Enlargement with accompanied urinary tract obstructive symptoms are related to age. Prostate Gland Enlargement also predisposes to hernia and aggravation of symptoms related to hernia. In elderly males Inguinal hernia and Symptomatic prostate gland enlargement are found in high frequency. On the basis of this evidence significant correlation between Inguinal hernia and obstructing prostate gland enlargement may be expected. Several standard General Surgical text books give chronic straining due to Prostate Gland Enlargement as an etiological factor for Inguinal hernia in elderly male population. But some of the studies showed that their occurrence together is considered a chance co-existence rather than cause and effect. This study is aimed to find out whether Prostate Gland Enlargement is a significant risk factor for developing Inguinal Hernia in males. OBJECTIVES: 1. To find out the incidence of Prostate gland enlargement (Benign Prostatic Hyperplasia) among male patients with inguinal hernia. 2. To find out whether there is any causal association between Prostate gland enlargement (Benign Prostatic Hyperplasia) and Inguinal Hernia. DURATION OF STUDY: One Year (April 2018 – April 2019). POPULATION TO BE STUDIED: 100. STUDY GROUP: > 50 Yrs age group, Males. STUDY SETTING: Outpatients and Inpatients of Department of General Surgery, Chengalpattu Medical College and Hospital, Chengalpattu. STUDY DESIGN: Prospective Study MATERIALS AND METHODS: SELECTION OF CASES: 50 male patients aged more than 50 years admitted with inguinal hernia to All Surgical Units of Government Chengalpattu Medical College Hospital are selected as cases. Inclusion criteria for Cases were, 1. Male sex, 2. Age more than 50 years, 3. Those with inguinal hernia. Exclusion criteria for Cases were, 1. Female sex, 2. Age ≤ 50 years, 3. Known case of connective tissue disorders, 4. Known case of BPH, who are already on drugs or have had any form of surgery for BPH in the past. 5. Presence of complications of hernia, such as irreducibility, strangulation or obstruction. The method of selection was to select the first 50 male patients in the order date of their admission to the Government Chengalpattu Medical College Hospital without any other methods of randomization. The case selection was independent of the side of the hernia or whether the hernia is unilateral, bilateral or recurrent. SELECTION OF CONTROLS: Every week, after selecting cases, the corresponding number of control subjects was selected randomly from the patients admitted to All Surgical Units of Government Chengalpattu Medical College Hospital for conditions other than inguinal hernias so as to make a control group of 50 subjects. Inclusion criteria for the controls were, 1. Male sex, 2. Age > 50 years, 3. Not seriously ill. Exclusion criteria for the controls include, 1. Female sex, 2. Age ≤ 50 years, 3. Known case of connective tissue disorders, 4. Known case of BPH, who are already on drugs or have had any form of surgery for BPH in the past, 5. Presence of inguinal hernia unilateral, bilateral or recurrent, 6. History of surgery done for inguinal hernia in the past, 7. Seriously ill or bedridden patient. Informed written consent will be obtained from each of the cases and controls. All subjects will be interviewed and examined by the single observer. MATERIALS USED: 1. International Prostate Symptom Score, 2. Prostate volume, 3. Post Voidal Residual Urine, 4. Serum Prostate Specific Antigens, 5. Uroflowmetry Study. CONCLUSION: The above study gives a comprehensive and detailed analysis of the Association between Prostate gland enlargement (Benign Prostatic Hyperplasia) and Inguinal Hernia.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221711255 |
| Uncontrolled Keywords: | Association, Prostate Gland Enlargement, Inguinal Hernia. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 17:11 |
| Last Modified: | 10 Feb 2021 17:11 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14004 |
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