Mohamed Rafeek, I (2021) A Study of Association between Inguinal Hernia and Benign Prostatic Hyperplasia. Masters thesis, Tirunelveli Medical College, Tirunelveli.
Full text not available from this repository.Abstract
INTRODUCTION: Benign Prostatic Hyperplasia is an important factor contributing to Bladder Outlet Obstruction in males. It leads to chronic straining on micturition. Chronic straining for micturition could precipitate inguinal hernia in adults. 2. Both the incidence of Inguinal Hernia and symptomatic Benign Prostatic Hyperplasia are often found altogether with increased frequency in old population. On the basis of this evidence significant correlation between inguinal hernia and obstructing benign prostate hyperplasia can be expected2. AIM OF THE STUDY: 1. To find out the incidence of Benign Prostatic Hyperplasia in male patients with inguinal hernia. 2. To find out whether there is any causal association between Benign Prostatic Hyperplasia and Inguinal Hernia. 3. To find out whether BPH is significant risk factor for developing inguinal hernia in elderly male population MATERIALS AND METHODS: 100 male patients aged more than 50 years admitted with inguinal hernia to the Surgical Department of Tirunelveli medical college Hospital, Tirunelveli between March 2019 and August 2020 are selected as cases. Inclusion criteria: 1. Male sex, 2. Age more than 50 years, 3. Those with inguinal hernia. Exclusion criteria: 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 100 male patients in the order date of their admission to the Tirunelveli 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. Every week, after selecting cases, the corresponding number of control subjects was selected randomly from the patients admitted to the surgical Department of Government medical college, Tirunelveli for conditions other than inguinal hernias so as to make a control group of 100 subjects. The inclusion criteria for the controls include, 1. Male sex, 2. Age > 50 years, 3. Not seriously ill. The 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 was obtained from each of the cases and controls. All subjects were interviewed and examined by the single observer. Hence for this study three independent variable - International Prostate Symptom Score, Prostate specific antigen (PSA), and prostate volume were taken and prevalence of BPH in cases and controls were found out for each of the three variables separately. Chi Square test is used to find out the association and P values were calculated for each variable. A P value <0.05 is taken as statistically significant. CONCLUSION • Among the cases 94 were having unilateral hernia and 6 were having bilateral hernias. • Right sided hernia was slightly more common than the left sided hernias (51 vs 43). • Univariate analysis of association between Inguinal Hernia and Benign Prostatic Hyperplasia using International Prostate Symptom Score showed no statistically significant association between the two. • Univariate analysis of association between Inguinal Hernia and Benign Prostatic Hyperplasia using Serum Prostatic Specific Antigen also showed no statistically significant association between the two. • Prostatic size also did not show any statistically significant association between Inguinal Hernia and Benign Prostatic Hyperplasia. • There was no significant difference in the distribution of the number of patients with Post – void residual urine volume >50ml between cases and controls. Eventhough both Inguinal Hernia and Benign Prostatic Hyperplasia are seen with increased frequency in the aged male population, this study showed no statistically significant association between the two. Their occurrence together is considered a chance co-existence rather than cause and effect.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221811361 |
| Uncontrolled Keywords: | Association, Inguinal Hernia, Benign Prostatic Hyperplasia. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 24 Apr 2021 04:36 |
| Last Modified: | 11 Nov 2021 00:09 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/15021 |
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