I suffer from hernia, enlarged prostate, blood pressure, colastorate. Blood pressure and colastorate are in control as I take medicine regularly. Enlarged prostate (bph) is also in control as I take dutas t regularly. May I go in for operation hernia without operating enlarged prostate.

Dr. Subhadeep TripathyGeneral Surgeon8yrs exp

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Hi. Thanks for the opportunity to help you. From your description you are having bph and inguinal hernia. As your blood pressure and cholesterol is under control, I would suggest you to undergo both the operations in same sitting. The ideal scenario should be turp followed by open/laparoscopic hernia repair. Turp to be done by urologist followed by lap/open hernia repair as per the operating surgeon's expertise. It is essential to do a turp first as straining while passing urine predisposes to hernia formation. If hernia is repaired without turp then after surgery you might strain due to bph and you might get a recurrent hernia due to straining and again might be subjected to unnecessery surgery, post-op pain morbidity etc. If it is an uncomplicated small, reducible inguinal hernia, turp followed by laparoscopic repair in the same sitting will be ideal. However if it is a large irreducible hernia turp followed by open repair will be ideal laparoscopic repair has a distinct advantage of less post-operative pain, less intraop blood loss, short post op pain and small surgical scar and rapid healing of skin wound. Lap scar will be 1cm in comparison to 7 to 8 cm painful scar of open hernioplasty hope the consultation was beneficial regards.  

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