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COMPREHENSIVE PREOPERATIVE EVALUATION AND REPAIR OF INGUINAL HERNIAS AT THE TIME OF OPEN RADICAL RETROPUBIC PROSTATECTOMY DECREASES RISK OF DEVELOPING POSTPROSTATECTOMY HERNIA

The authors have contributed a clearly written study of inguinal hernias (IH) and open retropubic radical prostatectomy (ORRP). Their key fi nding is that most IH exist before RRP and that RRP does not cause IH in most cases. The main concern here is the signifi cant cost of preoperative MRI scans, groin ultrasounds, and the added billing and costs associated with repairing all of these IH, many of which are asymptomatic and likely to never require intervention.