COMPARATIVE STUDY OF INCIDENCE OF PROSTATE ENLARGEMENT IN BUBONOCELE VS COMPLETE INGUINAL HERNIA IN PATIENTS ATTENDING SURGICAL OPD IN A TERTIARY CARE HOSPITAL

Abstract

Background: BPH (Benign prostatic hyperplasia) is a prevalent condition among the older men, which is characterized by an increase in prostate size, leading to lower urinary tract symptoms. Inguinal hernias are also common in men, particularly in those over the age of 50. There is limited research comparing the incidence of prostate enlargement in patients with different types of inguinal hernias, specifically bubonocele versus complete inguinal hernia.While studies like Wu et al. (2020) linked BPH to hernia risk, none compared prostate enlargement between bubonocele (incomplete hernia) and complete inguinal hernia.

OBJECTIVES: The objective of this study is to compare the incidence of prostate enlargement in patients diagnosed with bubonocele and those diagnosed with complete inguinal hernia.

Methods: A retrospective study of 50 males (25 bubonocele, 25 complete hernia) meeting strict inclusion criteria. Prostate volume, PSA levels, and urinary symptoms were analyzed. 

Results: Complete hernia patients had larger prostates (42.8 ± 7.6 cc vs. 25.4 ± 5.2 cc; *p* = 0.037), higher PSA (5.6 ± 1.8 ng/mL vs. 3.8 ± 1.2 ng/mL; *p* = 0.027), and worse urinary obstruction (80% vs. 48%), aligning with Parthiban et al. (2019). 

Conclusion: Complete hernias correlate with severe BPH, suggesting shared pathophysiology.