Inguinal Hernia following Artificial Urinary Sphincter Implantation—A Case Report—

Abstract

The patient is a 79-year-old male. At 63 years of age, he underwent laparoscopic radical prostatectomy for prostate cancer. He then underwent artificial urinary sphincter (AUS) implantation at 74 years of age for postprostatectomy stress urinary incontinence. The patient began to notice swelling in the right inguinal region four months ago and subsequently developed pain, which prompted him to visit our department, where he was diagnosed with a right inguinal hernia. Abdominal CT revealed that the pressure-regulating balloon and tubing of the AUS were located near the inguinal canal. Surgery was then performed using the mesh plug technique. The postoperative course was uneventful, and the patient was discharged on postoperative day 5. Inguinal hernia on the side of AUS implantation requires careful protection of the implanted device. In such cases, the inguinal incision approach with onlay mesh is a useful surgical technique.