Comparison Between Hernioplasty Alone and Combined with TURP: A 10-Year Single-Center Retrospective Study

Background Acute postoperative urinary retention (POUR) is a frequent complication following urologic and general surgeries, particularly in elderly male patients. Both transurethral resection of the prostate (TURP) and laparoscopic hernioplasty (LH) independently increase the risk of POUR. However, evidence regarding the incidence of POUR after simultaneous TURP and LH remains limited. Objective This study aimed to evaluate whether combined TURP and LH increase the risk of POUR compared with LH alone. Methods We retrospectively reviewed 156 patients who underwent inguinal hernia repair at a single institution between 2013 and 2024. After applying exclusion criteria, 129 patients were included for analysis. Perioperative outcomes were compared between patients undergoing simultaneous TURP with hernioplasty (n = 85) and those receiving laparoscopic hernioplasty alone (n = 44). A subgroup analysis was conducted focusing exclusively on patients who underwent laparoscopic hernioplasty, with or without TURP (TURP + LH, n = 24; LH only, n = 44). Parameters analyzed included age, operative time, Foley catheter duration, re-catheterization rate, postoperative analgesic use, and hospital stay. Statistical analysis was performed using SPSS version 30.0, with p < 0.05 considered significant. Results Patients in the combined TURP + LH group were older (70.9 ± 6.2 vs. 60.3 ± 16.4 years, p = 0.004) and had longer operative times (175 ± 45 vs. 88 ± 34 minutes, p < 0.001). Catheterization duration was also prolonged in the combined group (44.7 ± 11.0 vs. 18.5 ± 3.9 hours, p < 0.001). However, the incidence of re-catheterization (4.2% vs. 4.5%, p = 0.717) and postoperative analgesic use (21% vs. 25%, p = 0.61) did not differ significantly. The mean hospital stay was slightly longer in the TURP + LH group (2.73 ± 0.65 vs. 2.05 ± 1.14 days, p = 0.03). No major perioperative complications were observed in either group. Conclusion Although simultaneous TURP and LH were associated with longer operative times and catheterization duration, this combined approach did not significantly increase the incidence of POUR or other postoperative complications compared with LH alone. These findings suggest that concurrent TURP and LH is a safe and feasible option in appropriately selected patients, potentially reducing the need for multiple hospital admissions and anesthetic exposures.